Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nauvoo Pharmacy, PLLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1205078847

Nauvoo Pharmacy, PLLC is a Durable Medical Equipment & Medical Supplies in Nauvoo, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1350 Mulholland St
Nauvoo, IL 62354
Phone: (217) 453-2717
Fax: (217) 453-6456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054007478 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 054007478 (IL)

Record details

NPI number1205078847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mattie Haas — Pharmacist/Owner · (217) 453-2717
NPI enumeratedMarch 27, 2009
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing addressPo Box 248, 1350 Mulholland Street, Nauvoo, IL 62354