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Richard R Mazzotti, RPH

Pharmacist in Taylorville, IL. Individual provider (NPI-1).

NPI number1003579673
StatusActive
Last updated in NPPESOct 20, 2021

Details

NPI
1003579673
Entity type
Individual (NPI-1)
Name
Richard R Mazzotti
Credential
RPH
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2021
Certification date
Oct 20, 2021
Last updated
Oct 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.025363ILYes

Practice location

315 N Webster St
Taylorville, IL 62568-1555

Phone 217-824-8154

Mailing address

2703 Lincoln Trl
Taylorville, IL 62568-9632

Phone 217-741-0712

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