Provider / Organization | NPI | Date Certified |
---|---|---|
AZRA S MATEEN | 1427652379 | 2020-11-22 |
Azra S Mateen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427652379. Registration indicates Azra S Mateen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Azra S Mateen RPH |
Practice Office Address | 1101 PEORIA ST WASHINGTON, IL US |
Practice Office Telephone | 3094442301 |
Mailing Address | 1705 KINGSBURY RD WASHINGTON, IL 615719278 US |
Business Telephone | 8476440725 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 051300285
IL |