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MELISSA JEAN MATTISON PHARM D

Pharmacy Service Providers Pharmacist

Provider NPI: 1568745982

Provider Information:
 MELISSA JEAN MATTISON PHARM D
Gender: F
Not Sole Proprietor

Practice Location:
583 JAMES ST  CHICOPEE, MA 01020-3911 US
Tel: 413-493-1860  Fax: 413-493-6577

Business Mailing Address:
583 JAMES ST  CHICOPEE, MA 01020-3911 US
Tel: 413-493-1860  Fax: 413-493-6577

NPI Information:
NPI: 1568745982
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MAPH26577
N183500000XPharmacy Service Providers
Pharmacist
CT8107
N183500000XPharmacy Service Providers
Pharmacist
LA16129

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 183500000X

Type:

Classification:



Definition:



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