Potter Pharmacy Inc in Petersburg - Community/retail Pharmacy
Potter Pharmacy Inc - NPI 1073594859
Potter Pharmacy Inc is a Community/retail Pharmacy in Petersburg, Illinois. Potter Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Potter Pharmacy Inc is 1073594859. The last update date is 2014-03-06.
Potter Pharmacy Inc's current location address is 200 S 6th St, Petersburg, Illinois. You can contact this provider via phone number 2176322287 and fax number 2176322033. The mailing address for Potter Pharmacy Inc is 200 S 6th St, Petersburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potter Pharmacy Inc |
|---|---|
| Address | 200 S 6th St, Petersburg, Illinois |
| Phone Number | 2176322287 |
| Fax Number | 2176322033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Potter Patrick |
| Telephone Number | 2176322288 |
NPI Number Detail
| NPI Number | 1073594859 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2014-03-06 |
Provider Mailing Address Detail
| Address | 200 S 6th St |
|---|---|
| City | Petersburg |
| State | Illinois (IL) |
| Post Code | 626751553 |
| Phone Number | 2176322287 |
| Fax Number | 2176322033 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54006072 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2023312 | PK |
Post Comment/ Review Below
What is the unique identifier code issued to Potter Pharmacy Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Potter Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1073594859. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Potter Pharmacy Inc?
The Potter Pharmacy Inc is physically situated at 200 S 6Th St, in the city of Petersburg, state of IL, with the postal code 626751553.
What is the Potter Pharmacy Inc's area of specialization and corresponding taxonomy classification?
The Potter Pharmacy Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1073594859 to Potter Pharmacy Inc?
The Centers for Medicare & Medicaid Services assigned the 1073594859 to Potter Pharmacy Inc on 2005-11-09.
When was the information regarding Potter Pharmacy Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Potter Pharmacy Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-06.
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