Most Relevant Information
Provider Data
| NPI Number: | 1003579673 |
| Provider Name: | RICHARD R MAZZOTTI RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051.025363 |
Most Important Dates
| Enumeration Date: | 10/20/2021 |
| Last Updated: | 10/20/2021 |
Provider Practice Location
315 N WEBSTER ST
TAYLORVILLE
IL
625681555
Practice Location Phone/Fax
| Phone: | 2178248154 |
| Fax: |
Provider Mailing Location
2703 LINCOLN TRL
TAYLORVILLE
IL
625689632
Provider Mailing Phone/Fax
| Phone: | 2177410712 |
| Fax: |