Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Matoesian

Individual provider Pharmacist · NPI 1023387719

Phillip Matoesian is a Pharmacist in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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Practice location Address checks out

2001 Madison Ave
Granite City, IL 62040-4618
Phone: (618) 876-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.291512 (IL)

Record details

NPI number1023387719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 24, 2011
Last updated in NPPESDecember 24, 2011
Mailing address676 Royal Crest Way, O Fallon, IL 62269-6993

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