Trenton Chase Mattice, PharmD
Pharmacist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1154677409
StatusActive
Last updated in NPPESJul 24, 2012
Details
- NPI
- 1154677409
- Entity type
- Individual (NPI-1)
- Name
- Trenton Chase Mattice
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2012
- Last updated
- Jul 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S017327 | AZ | Yes |
Practice location
3945 E Southern AvePhoenix, AZ 85040-3961
Phone 480-426-0501
Mailing address
3945 E Southern AvePhoenix, AZ 85040-3961
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