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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GORDON JOHN MAZZOTTI, R PH

Active Sole Proprietor

GORDON JOHN MAZZOTTI, R PH is a Pharmacist healthcare provider located in TAYLORVILLE, Illinois. NPI 1689235749 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · TAYLORVILLE, IL

Registration Details

NPI Number
1689235749
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2019 (6.9529094290477 yrs)
Last Updated
Jun 27, 2019
License
051-027614 (IL)
Sole Proprietor
Yes

Practice Information

Address
315 N WEBSTER ST
TAYLORVILLE, IL, 625681555
Browse IL providers · Browse ZIP 62568
Phone
2178248154
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in TAYLORVILLE, IL

Name Credential NPI
MR. JAMES BALLEW MAPLE R.PH. 1609851260
MR. DANIEL KEVIN CURL PHARMD 1700160066
MR. DAVID K DRISKELL R.PH. 1922383454
GINA BERG THOMPSON RPH 1326396771
MR. PAUL VINCENT CHAUSSE RPH 1407391352
TRACY N GARWOOD 1144820606
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.