person
Mr. Edwin Ray Potts, RPH
Pharmacist in Fairfield, Illinois
NPI 1396794954

Edwin Ray Potts is a Pharmacist based in Fairfield, IL. Edwin Ray Potts practices in Fairfield, IL and has the professional credentials of RPH. The NPI Number for Edwin Ray Potts is 1396794954 and holds a License No. 332B00000X (Illinois).

The current practice location address for Edwin Ray Potts is 1116 W Main St, Fairfield, IL and can be reached out via phone at 618-842-6007 and via fax at 618-842-4816.

Location: 1116 W Main St, Fairfield, IL, 62837-2324
person
Provider Profile Details
NPI Number
1396794954
Provider Name
Edwin Ray Potts
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1116 W Main St, Fairfield, IL, 62837-2324
Phone Number
618-842-6007
Fax Number
618-842-4816
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371200692001 05 IL
0009632011 01 IL BLUE CROSS BLUE SHIELD
1453531 01 IL NABP
institution
Provider Business Practice Location Address Details
Address
1116 W Main St
City
State
Zip
62837-2324
Phone Number
618-842-6007
Fax Number
618-842-4816
person
Provider Business Mailing Address Details
Address
1116 W Main St
City
State
Zip
62837-2324
Phone Number
618-842-6007
Fax Number
618-842-4816
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
332B00000X (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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