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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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