PHILLIP MATOESIAN

GRANITE CITY, IL
NPI1023387719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.291512)
Enumeration Date2011-12-24
Last Update Date2011-12-24
Business Address
-- PHILLIP MATOESIAN
2001 MADISON AVE
GRANITE CITY, IL 62040-4618
Phone number: 618-876-5095
Mailing Address
-- PHILLIP MATOESIAN
676 ROYAL CREST WAY
O FALLON, IL 62269-6993
Phone number: 618-206-8004
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