Roy Mattox

Pharmacist · Tahlequah, OK

Individual Active NPI

NPI number 1083092654

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone
(918) 458-3100

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NPI record

NPI
1083092654
Entity type
Individual (Type 1)
Enumeration date
May 14, 2015
Last updated
May 14, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 9540 OK

About Roy Mattox

Roy Mattox is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 100 S Bliss Ave, Tahlequah, OK 74464-2512. The NPI number 1083092654 was assigned on May 14, 2015 and the record was last updated on May 14, 2015.

Roy Mattox lists a license in the registry: #9540 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roy Mattox?

The NPI number is 1083092654.

What is the phone number of Roy Mattox?

The phone number listed for the practice location is (918) 458-3100.

Where is Roy Mattox located?

100 S Bliss Ave, Tahlequah, OK 74464-2512.

What is the taxonomy code for Roy Mattox?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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