MR. Edwin Ray Potts, RPH

NPI #1396794954 in Fairfield, Illinois

Provider Information

NPI Number: 1396794954
Entity Type: Individual
Name: MR. Edwin Ray Potts, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 9, 2006
Last Updated: Jul 16, 2008

Practice Location

Address: 1116 W MAIN ST
City: Fairfield
State: Illinois
ZIP Code: 62837-2324
Phone: (618) 842-6007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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