Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS LEE MATTINGLY, RPH
Active Sole ProprietorTHOMAS LEE MATTINGLY, RPH is a Long-Term Care Pharmacy healthcare provider located in GRAYSON, Kentucky. NPI 1972264117 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · GRAYSON, KY
Registration Details
- NPI Number
- 1972264117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2022 (4.605626172534 yrs)
- Last Updated
- Jan 9, 2022
- License
-
8361 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 N CAROL MALONE BLVDGRAYSON, KY, 411431124Browse KY providers · Browse ZIP 41143
- Phone
- 6064750033
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.