| Katie Rose Mattox, PHARMD | |
|
193 Boston Post Rd, Old Lyme, CT 06371-1312 | |
| (860) 510-6975 | |
| Not Available |
| Full Name | Katie Rose Mattox |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 193 Boston Post Rd, Old Lyme, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740873777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PCT.0010968 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Rose Mattox, PHARMD 193 Boston Post Rd, Old Lyme, CT 06371-1312 Ph: (860) 510-6975 | Katie Rose Mattox, PHARMD 193 Boston Post Rd, Old Lyme, CT 06371-1312 Ph: (860) 510-6975 |
Patricia Lirot, R.PH, B.S. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 90 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8111 Fax: 860-434-5465 | |
Habib Thiam, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 90 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8111 |