Individual provider · Type 1 NPI

Michelle Boudreau Mattingly

Pharmacist · Meridian, MS

NPI number 1801548755 Active

Practice location

715 Bonita Dr
Meridian, MS 39301-4603

Mailing address

6545 A C Brown Rd
Meridian, MS 39305-9511

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XT-16401 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1801548755

Michelle Boudreau Mattingly's National Provider Identifier is 1801548755, issued on Jan 21, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Meridian, MS. The record was last updated on Jan 21, 2022.