Phillip Matoesian

Pharmacist · Granite City, IL

Individual Active NPI

NPI number 1023387719

Practice location

2001 Madison Ave
Granite City, IL 62040-4618
Phone
(618) 876-5095

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NPI record

NPI
1023387719
Entity type
Individual (Type 1)
Enumeration date
December 24, 2011
Last updated
December 24, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.291512 IL

Mailing address

676 Royal Crest Way
O Fallon, IL 62269-6993
Phone
(618) 206-8004

About Phillip Matoesian

Phillip Matoesian is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2001 Madison Ave, Granite City, IL 62040-4618. The NPI number 1023387719 was assigned on December 24, 2011 and the record was last updated on December 24, 2011.

Phillip Matoesian lists a license in the registry: #051.291512 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillip Matoesian?

The NPI number is 1023387719.

What is the phone number of Phillip Matoesian?

The phone number listed for the practice location is (618) 876-5095.

Where is Phillip Matoesian located?

2001 Madison Ave, Granite City, IL 62040-4618.

What is the taxonomy code for Phillip Matoesian?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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