Individual
ALICE MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10132 W 76TH ST, EDEN PRAIRIE, MN 55344-3728
(877) 323-4292
Mailing address
3830 UNION TERRACE LN N, PLYMOUTH, MN 55441-1523
(612) 666-2232
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
121182
MN
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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