Petersburg Pharmacy, INC
NPI #1538259403 in Petersburg, Illinois
Provider Information
- NPI Number
- 1538259403
- Entity Type
- Organization
- Organization Name
- Petersburg Pharmacy, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Jun 2, 2015
Practice Location
- Address
- 1 CENTRE DR
- Address 2
- SUITE 100
- City
- Petersburg
- State
- Illinois
- ZIP Code
- 62675-9467
- Phone
- (217) 632-7777
Authorized Official
- Name
- MR. DAVID BAGOT, RPH
- Title
- PHARMACIST/OWNER
- Phone
- (217) 632-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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