# NAUVOO PHARMACY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nauvoo Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740914654
- **Authorized official:** MATTIE ANN HAAS PHARMD (PHARMACIST/OWNER)
- **Authorized official phone:** (217) 453-2717

## Contact information

- **Practice address:** 1350 MULHOLLAND ST, NAUVOO, IL 62354-1010
- **Practice address phone:** (217) 453-2717
- **Practice address fax:** (217) 453-6456
- **Mailing address:** PO BOX 248, NAUVOO, IL 62354-0248
- **Mailing address phone:** (217) 453-2717
- **Mailing address fax:** (217) 453-6456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 07/15/2022