Potter Drug

LBN: Gleason Pharmacy Services Inc
Potter Drug is an health care organization with primary practice located at 214 Abe Lincoln Dr Unit 2 , Athens IL 62613-7800. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gleason Pharmacy Services Inc can be contacted via phone (217) 952-7030, or through Gleason, Timothy via phone (217) 891-1449.

Contact Information

Primary practice address
214 Abe Lincoln Dr Unit 2 Athens IL 62613-7800
Phone: (217) 952-7030
Fax: (217) 952-7031
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Timothy
Phone: (217) 891-1449

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.020373 Illinois

Profile Details

NPI number 1437690567
LBN Legal business name Gleason Pharmacy Services Inc
DBA Doing business as Potter Drug
Authorized official Gleason, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2017
Last updated Jun 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437690567 NPPES
Other 2174744 PK

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