Organization
RENE'S DRUG STORE, INC
Active
Other names
The Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON JOHN MAZZOTTI RPH (OWNER PRESIDENT)
(217) 824-3411
Entity
Organization
Contact information
Practice address
600 N MAIN ST, TAYLORVILLE, IL 62568-1511
(217) 824-3411
(217) 824-3492
Mailing address
600 N MAIN ST, TAYLORVILLE, IL 62568-1511
(217) 824-3411
(217) 824-3492
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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