Nauvoo Pharmacy, Pllc
Community/Retail Pharmacy
1350 Mulholland Street, Nauvoo
Illinois, 62354
217-453-2717 217-453-6456
Nauvoo Pharmacy, Pllc is not a DME supplier for medicare equipments and products.
Nauvoo Pharmacy, Pllc is a Community/Retail Pharmacy in Nauvoo, Illinois. It is located at 1350 Mulholland Street, Nauvoo and it's customer support contact number is 217-453-2717. The authorized person of Nauvoo Pharmacy, Pllc is Mattie Ann Haas, PHARMD who is Pharmacist/owner of the pharmacy and his contact number is 217-453-2717. Active license number of Nauvoo Pharmacy, Pllc is 054007478 for Community/Retail Pharmacy in Illinois.
Nauvoo Pharmacy, Pllc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Nauvoo Pharmacy, Pllc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Nauvoo Pharmacy, Pllc |
| Type: | Community/Retail Pharmacy |
| Location: | 1350 Mulholland Street, Nauvoo, Illinois, 62354 |
| Phone: | 217-453-2717 |
| Fax: | 217-453-6456 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mattie Ann Haas |
| Credentials: | PHARMD |
| Position: | Pharmacist/owner |
| Contact Number: | 217-453-2717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1205078847 |
| NPI Enumeration Date: | 27 Mar, 2009 |
| NPI Last Update On: | 17 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nauvoo Pharmacy, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054007478 | Illinois | Primary | |
| Durable Medical Equipment & Medical Supplies | 054007478 | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3711031796235401 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 248, 1350 Mulholland Street Nauvoo, Illinois |
| Zip: | 62354 |
| Phone Number: | 217-453-2717 |
| Fax Number: | 217-453-6456 |
Patients can reach Nauvoo Pharmacy, Pllc at
1350 Mulholland Street, Nauvoo, Illinois or can
call on customer care at 217-453-2717.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.