Gordon John Mazzotti, R PH

NPI #1689235749 in Taylorville, Illinois

Provider Information

NPI Number: 1689235749
Entity Type: Individual
Name: Gordon John Mazzotti, R PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R PH
Enumeration Date: Jun 27, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 315 N WEBSTER ST
City: Taylorville
State: Illinois
ZIP Code: 62568-1555
Phone: (217) 824-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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