| NPI | 1962260117 |
|---|---|
| Doing Business As | POTTER DRUG |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ARTHUR GLEASON President 217-632-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |