Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH MATTILA
ActiveRANDOLPH MATTILA is a Pharmacist healthcare provider located in GRANTS, New Mexico. NPI 1740680099 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · GRANTS, NM
Registration Details
- NPI Number
- 1740680099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2014 (11.944057117526 yrs)
- Last Updated
- Aug 23, 2014
- License
-
RP00004614 (NM)
Practice Information
- Address
-
1208 BONITA STGRANTS, NM, 870202234Browse NM providers · Browse ZIP 87020
- Phone
- 5052872600
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in GRANTS, NM
| Name | Credential | NPI |
|---|---|---|
| MR. BRUCE ROBERT SMITH | RPH | 1154345395 |
| PHIL PARKHURST | R.PH. | 1154487635 |
| MATTHEW MUNSON | PHARM D | 1023425998 |
| ROGER NICOLAUS | — | 1124435417 |
| JOLENE COLBURN | — | 1639586852 |
| ALICIA M GARDNER | PHARMD | 1114320132 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.