Individual provider · Type 1 NPI

Phadi Masisi-Mmutle

Pharmacist · Joliet, IL

NPI number 1902941248 Active

Practice location

300 N Ottawa St
Joliet, IL 60432-4009

Call (815) 722-3200 Map

Fax (815) 725-7500

Mailing address

6514 Walter Adamic Ln
Plainfield, IL 60586-7218

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XNone listed

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1902941248

Phadi Masisi-Mmutle's National Provider Identifier is 1902941248, issued on Feb 21, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Joliet, IL. The record was last updated on Jul 8, 2007.