Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Boudreau Mattingly

Individual provider Pharmacist · NPI 1801548755

Michelle Boudreau Mattingly is a Pharmacist in Meridian, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2022
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Practice location Address checks out

715 Bonita Dr
Meridian, MS 39301-4603
Phone: (601) 286-6035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence T-16401 (MS)

Record details

NPI number1801548755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2022
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address6545 A C Brown Rd, Meridian, MS 39305-9511

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