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Randolph Mattila
Pharmacist in Grants, New Mexico
NPI 1740680099

Randolph Mattila is a Pharmacist based in Grants, NM. Randolph Mattila practices in Grants, NM. The NPI Number for Randolph Mattila is 1740680099 and holds a License No. RP00004614 (New Mexico).

The current practice location address for Randolph Mattila is 1208 Bonita St, Grants, NM and can be reached out via phone at 505-287-2600.

Location: 1208 Bonita St, Grants, NM, 87020-3766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740680099
Provider Name
Randolph Mattila
Credential
Provider Entity Type
Individual
Gender
Male
Address
1208 Bonita St, Grants, NM, 87020-3766
Phone Number
505-287-2600
Fax Number
Provider Enumeration Date
08/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1208 Bonita St
City
Grants
State
New Mexico
Zip
87020-2234
Phone Number
505-287-2600
Fax Number
person
Provider Business Mailing Address Details
Address
1208 Bonita St
City
Grants
State
New Mexico
Zip
87020-2234
Phone Number
505-287-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RP00004614 (New Mexico)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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