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Gordon Mazzotti, R PH
NPI 1689235749 · on the registry since 2019 · sole proprietor
Practice
- Address
- 315 N Webster St
Taylorville, IL 62568 - Phone
- (217) 824-8154
- Organisation at this address
- Walgreen Co
Walgreen Co.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 201 W Main Cross St, Taylorville, IL
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois