DR. BENJAMIN WILLIAM MATTILA PHARMD - NPI 1265030225

Q: What is Benjamin Mattila's NPI number?

The NPI number for Benjamin Mattila is 1265030225. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Benjamin Mattila's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Mattila was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Benjamin William Mattila Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN WILLIAM MATTILA PHARMD (NPI 1265030225) is an individual pharmacist in Saukville, Wisconsin, licensed in Wisconsin (17545-40) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1265030225

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. BENJAMIN WILLIAM MATTILACredential: PHARMD

Location Address825 E GREEN BAY AVESaukville, WI 53080-2611

Mailing Address825 E Green Bay AveSaukville, WI 53080-2611 · (262) 284-9881 · Fax (262) 284-1174

Phone(262) 284-9881

Fax(262) 284-1174

Sole ProprietorYes

Enumeration DateOctober 13, 2020

Last NPPES UpdateOctober 15, 2020

NPPES CertifiedOctober 15, 2020

✔ NPI 1265030225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in WI · 17545-40

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

825 E GREEN BAY AVE, Saukville, WI 53080

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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