Individual
MR. WILLILAM PATRICK MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
498 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-4950
(270) 692-2320
Mailing address
498 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-4950
(270) 692-2320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007247
KY
Other
Enumeration date
10/31/2008
Last updated
08/27/2009
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