IndividualActive
Cody Mattson
NPI 1730668153 · Pharmacist · Ada, OH
Provider details
- NPI number
- 1730668153
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03337628 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
610 S Main St
Ada, OH 45810-1503
Phone: (419) 634-0888
Fax: (419) 634-0893
Approximate (ZIP-level) locationGet directions
Mailing address
610 S Main St
Ada, OH 45810-1503
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2018-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.