IndividualActive
Addison Mattson
NPI 1679147599 · Pharmacy Technician · Lansing, MI
Provider details
- NPI number
- 1679147599
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5303036282 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
409 N Marketplace Blvd
Lansing, MI 48917-7732
Phone: (517) 622-1451
Approximate (ZIP-level) locationGet directions
Mailing address
409 N Marketplace Blvd
Lansing, MI 48917-7732
Registry dates
- Enumerated
- 2021-05-15
- Last updated
- 2021-05-15
- Certified
- 2021-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.