Individual
DR. HOLLY MARIE MATTOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1200 N MAIN ST, PROVIDENCE, RI 02904-1820
(401) 272-3048
(401) 621-1888
Mailing address
1200 N MAIN ST, PROVIDENCE, RI 02904-1820
(401) 272-3048
(401) 621-1888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT0009149
CT
183500000X
Pharmacist
PH232472
MA
183500000X
Pharmacist
PS45992
FL
183500000X
Pharmacist
Primary
RPH04101
RI
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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