NPI Registry.org

Thomas Lee Mattingly

NPI Registration Record

Provider / OrganizationNPIDate Certified
THOMAS LEE MATTINGLY19722641172022-01-09

Thomas Lee Mattingly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972264117. Registration indicates Thomas Lee Mattingly is a provider of access to pharmacies services with a specialization in Suppliers, Pharmacy (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )

Entity TypeIndividual
Provider Name Thomas Lee Mattingly RPH
Practice Office Address630 N CAROL MALONE BLVD
GRAYSON, KY US
Practice Office Telephone6064750033
Mailing Address630 N CAROL MALONE BLVD
GRAYSON, KY 411431124 US
Business Telephone6064750033
HPT Codes
CodePractice
License No
State
3336C0003X PRIMARYAccess to Pharmacies
Suppliers
Pharmacy
Suppliers
Pharmacy
Pharmacy: Community/Retail Pharmacy

Pharmacy/DME

Pharmacy Community/Retail Pharmacy
Suppliers
Pharmacy
8361
KY
OPI Codes
8361 OTHER KY KENTUCKY BOARD
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