Individual
JOSEPH DEMATTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 241-8558
Mailing address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 241-8558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293665
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051293665
IL BOARD OF PHARMACY
IL
Enumeration date
05/03/2021
Last updated
05/03/2021
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