NPI | 1609905702 |
---|---|
Doing Business As | THE PHARMACY |
Entity Type | Organization |
Authorized Contact | GORDON JOHN MAZZOTTI Owner President 217-824-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |