Amy Louise Mattila

Pharmacist · Ashland, WI

Individual Active NPI

NPI number 1164020764

Practice location

2500 Lake Shore Dr E
Ashland, WI 54806-2421
Phone
(715) 682-3660
Fax
(715) 685-9941

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NPI record

NPI
1164020764
Entity type
Individual (Type 1)
Enumeration date
October 15, 2020
Last updated
October 15, 2020
Certified
October 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 11406 WI

Mailing address

200 Gary Rd
Washburn, WI 54891-5402
Phone
(715) 685-8102

About Amy Mattila

Amy Louise Mattila is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2500 Lake Shore Dr E, Ashland, WI 54806-2421. The NPI number 1164020764 was assigned on October 15, 2020 and the record was last updated on October 15, 2020.

Amy Mattila lists a license in the registry: #11406 (WI) 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 Amy Louise Mattila?

The NPI number is 1164020764.

What is the phone number of Amy Mattila?

The phone number listed for the practice location is (715) 682-3660.

Where is Amy Mattila located?

2500 Lake Shore Dr E, Ashland, WI 54806-2421.

What is the taxonomy code for Amy Mattila?

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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