Individual
AZRA S MATEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1101 PEORIA ST, WASHINGTON, IL 61571-2350
(309) 444-2301
Mailing address
1705 KINGSBURY RD, WASHINGTON, IL 61571-9278
(847) 644-0725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300285
IL
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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