DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE ROSE MATTOX, PHARMD

Active Sole Proprietor

KATIE ROSE MATTOX, PHARMD is a Pharmacist healthcare provider located in OLD LYME, Connecticut. NPI 1740873777 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · OLD LYME, CT

Registration Details

NPI Number
1740873777
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2021 (5.2947242490248 yrs)
Last Updated
Feb 20, 2021
License
PCT.0010968 (CT)
Sole Proprietor
Yes

Practice Information

Address
193 BOSTON POST RD
OLD LYME, CT, 063711312
Browse CT providers · Browse ZIP 06371
Phone
8605106975
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in OLD LYME, CT

Name Credential NPI
PATRICIA LIROT R.PH, B.S. 1043503188
HABIB THIAM 1205429362
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.