Organization
NAUVOO PHARMACY, PLLC
Active
Other names
Nauvoo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE ANN HAAS PHARMD (PHARMACIST/OWNER)
(217) 453-2717
Entity
Organization
Contact information
Practice address
1350 MULHOLLAND ST, NAUVOO, IL 62354-1010
(217) 453-2717
(217) 453-6456
Mailing address
PO BOX 248, NAUVOO, IL 62354-0248
(217) 453-2717
(217) 453-6456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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