Randolph Mattila, - Pharmacist in Grants, NM

Randolph Mattila, is a Pharmacist based in Grants, New Mexico. Randolph Mattila is licensed to practice in New Mexico (license number RP00004614) and his current practice location is 1208 Bonita St, Grants, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 287-2600.

NPI number for Randolph Mattila is 1740680099 and his current mailing address is 36 Hamilton Rd, Grants, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740680099.

Contact Information

Randolph Mattila,
1208 Bonita St,
Grants, NM 87020-2234
(505) 287-2600
Not Available

Healthcare Provider's Profile

Full NameRandolph Mattila
GenderMale
SpecialityPharmacist
Location1208 Bonita St, Grants, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740680099
  • Provider Enumeration Date: 08/23/2014
  • Last Update Date: 08/23/2014

Medical Identifiers

Medical identifiers for Randolph Mattila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740680099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RP00004614 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randolph Mattila is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randolph Mattila,
36 Hamilton Rd,
Grants, NM 87020-3766

Ph: () -
Randolph Mattila,
1208 Bonita St,
Grants, NM 87020-2234

Ph: (505) 287-2600

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› Verified 3 days ago


Pharmacist in Grants, NM

Matthew Munson, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1208 Bonita St, Grants, NM 87020
Phone: 505-287-4641    
Alicia M Gardner, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Robert Rd, Grants, NM 87020
Phone: 505-285-3378    
Roger Nicolaus,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Robert Rd, Grants, NM 87020
Phone: 505-285-3378    Fax: 505-285-3760
Joaquin Acosta, PHARMD.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Robert Rd, Grants, NM 87020
Phone: 505-285-3378    
Mr. Bruce Robert Smith, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Roosevelt Ave, Grants, NM 87020
Phone: 505-287-3913    
Phil Parkhurst, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1208 Bonita St, Grants, NM 87020
Phone: 505-287-4641    Fax: 505-287-7160
Jolene Colburn,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Robert Rd, Grants, NM 97021
Phone: 505-285-3378    

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