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

Randolph Mattila

Individual provider Pharmacist · NPI 1740680099

Randolph Mattila is a Pharmacist in Grants, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014

Practice location Address checks out

1208 Bonita St
Grants, NM 87020-2234
Phone: (505) 287-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00004614 (NM)

Record details

NPI number1740680099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2014
Last updated in NPPESAugust 23, 2014
Mailing address36 Hamilton Rd, Grants, NM 87020-3766

Other providers in Grants