IndividualActive
Phillip Matoesian
NPI 1023387719 · Pharmacist · Granite City, IL
Phillip Matoesian is a Pharmacist provider in Granite City, IL (NPI 1023387719).
Provider details
- NPI number
- 1023387719
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 051.291512 (IL)
Practice location
2001 Madison Ave
Granite City, IL 62040-4618
Phone: (618) 876-5095
Street-level locationGet directions
Mailing address
676 Royal Crest Way
O Fallon, IL 62269-6993
Registry dates
- Enumerated
- 2011-12-24
- Last updated
- 2011-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.