Individual
ANNE E MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2900
(413) 582-2900
Mailing address
65 CANAL ST APT 214, MILLBURY, MA 01527-3274
(508) 340-0566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH233458
REGISTERED PHARMACIST
MA
Enumeration date
11/29/2017
Last updated
11/29/2017
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