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Phillip Matoesian
Pharmacist in Granite City, Illinois
NPI 1023387719

Phillip Matoesian is a Pharmacist based in O Fallon, IL. Phillip Matoesian practices in Granite City, IL. The NPI Number for Phillip Matoesian is 1023387719 and holds a License No. 051.291512 (Illinois).

The current practice location address for Phillip Matoesian is 2001 Madison Ave, Granite City, IL and can be reached out via phone at 618-876-5095.

Location: 2001 Madison Ave, Granite City, IL, 62269-6993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023387719
Provider Name
Phillip Matoesian
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Madison Ave, Granite City, IL, 62269-6993
Phone Number
618-876-5095
Fax Number
Provider Enumeration Date
12/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 Madison Ave
City
Granite City
State
Illinois
Zip
62040-4618
Phone Number
618-876-5095
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Madison Ave
City
Granite City
State
Illinois
Zip
62040-4618
Phone Number
618-876-5095
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051.291512 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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