Katie R Mattox, PHARMD
Pharmacist in Old Lyme, Connecticut
1740873777- Practice location
- 193 Boston Post RD, Old Lyme, CT 06371-1312
- Phone
- 860-510-6975
- Fax
- —
- Last updated
- February 20, 2021
Katie Rose Mattox is a Pharmacist based in Old Lyme, CT. Katie Rose Mattox practices in Old Lyme, CT and has the professional credentials of PHARMD. The NPI Number for Katie Rose Mattox is 1740873777 and holds a License No. PCT.0010968 (CT). The current practice location address for Katie Rose Mattox is 193 Boston Post RD, Old Lyme, CT 06371-1312 and can be reached out via phone at 860-510-6975.
Provider Profile Details
- NPI Number
- 1740873777
- Provider Name
- Katie Rose Mattox
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 193 Boston Post RD, Old Lyme, CT 06371-1312
- Phone Number
- 860-510-6975
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 20, 2021
- Last Update Date
- February 20, 2021
- Certification Date
- February 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 193 Boston Post RD
Old Lyme, CT 06371-1312 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1312
- Phone Number
- 860-510-6975
Provider Business Mailing Address Details
- Address
- 193 Boston Post RD
Old Lyme, CT 06371-1312 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1312
- Phone Number
- 860-510-6975
License Information
- License Number
- PCT.0010968
- License State
- CT
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katie R Mattox, PHARMD?
The NPI number of Katie R Mattox, PHARMD is 1740873777. It was assigned on February 20, 2021 and is currently active in the NPPES registry.
What is the specialty of Katie R Mattox, PHARMD?
Katie R Mattox, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0010968.
Where does Katie R Mattox, PHARMD practice?
The practice location is 193 Boston Post RD, Old Lyme, CT 06371-1312. The office can be reached at 860-510-6975 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740873777 directly on the NPPES registry website.