| Randolph Mattila, | |
|
1208 Bonita St, Grants, NM 87020-2234 | |
| (505) 287-2600 | |
| Not Available |
| Full Name | Randolph Mattila |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1208 Bonita St, Grants, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740680099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RP00004614 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Mattila, 36 Hamilton Rd, Grants, NM 87020-3766 Ph: () - | Randolph Mattila, 1208 Bonita St, Grants, NM 87020-2234 Ph: (505) 287-2600 |
Matthew Munson, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4641 | |
Alicia M Gardner, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1000 Robert Rd, Grants, NM 87020 Phone: 505-285-3378 | |
Roger Nicolaus, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1000 Robert Rd, Grants, NM 87020 Phone: 505-285-3378 Fax: 505-285-3760 | |
Joaquin Acosta, PHARMD. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1000 Robert Rd, Grants, NM 87020 Phone: 505-285-3378 | |
Mr. Bruce Robert Smith, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-3913 | |
Phil Parkhurst, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4641 Fax: 505-287-7160 | |
Jolene Colburn, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1000 Robert Rd, Grants, NM 97021 Phone: 505-285-3378 |