Organization
JULIANNE A MANUEL
Active
Other names
Mason City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE ANNETTE MANUEL (OWNER/PIC)
(217) 482-5985
Entity
Organization
Contact information
Practice address
149 E CHESTNUT ST, MASON CITY, IL 62664-1403
(217) 482-5985
(217) 482-5715
Mailing address
149 E CHESTNUT ST, MASON CITY, IL 62664-1403
(217) 482-5985
(217) 482-5715
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142103
PK
—
Enumeration date
07/30/2006
Last updated
03/04/2026
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