Individual
LAURA L MATTINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
750 W VICTORY WAY, CRAIG, CO 81625-2934
(970) 824-0155
(970) 824-9782
Mailing address
750 W VICTORY WAY, CRAIG, CO 81625-2934
(970) 824-0155
(970) 824-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15096
CO
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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