Potter Pharmacy INC
NPI #1073594859 in Petersburg, Illinois
Provider Information
- NPI Number
- 1073594859
- Entity Type
- Organization
- Organization Name
- Potter Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Mar 6, 2014
Practice Location
- Address
- 200 S 6TH ST
- City
- Petersburg
- State
- Illinois
- ZIP Code
- 62675-1553
- Phone
- (217) 632-2287
Authorized Official
- Name
- PATRICK POTTER
- Title
- PRESIDENT
- Phone
- (217) 632-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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