Active NPIIndividual provider

Edmund Potocki

Pharmacist in Matshalls Creek, Pennsylvania

NPI Number1639595051
Practice location
123 Columbia Dr, Matshalls Creek, PA 18335
Fax
570-223-2600
Last updated
March 10, 2014

Edmund Potocki is a Pharmacist based in Matshalls Creek, PA. Edmund Potocki practices in Matshalls Creek, PA. The NPI Number for Edmund Potocki is 1639595051 and holds a License No. 28ri01476400 (NJ). The current practice location address for Edmund Potocki is 123 Columbia Dr, Matshalls Creek, PA 18335 and can be reached out via phone at 570-223-2600 and via fax at 570-223-2600.

Provider Profile Details

NPI Number
1639595051
Provider Name
Edmund Potocki
Provider Entity Type
Individual
Gender
Male
Address
123 Columbia Dr, Matshalls Creek, PA 18335
Phone Number
570-223-2600
Fax Number
570-223-2600
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
March 10, 2014
Last Update Date
March 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Columbia Dr
Matshalls Creek, PA 18335
Zip
18335
Phone Number
570-223-2600
Fax Number
570-223-2600
Matshalls Creek, PA 18335Get directions →

Provider Business Mailing Address Details

Address
2 Pine Valley RD
Newton, NJ 07860-5240
City
Newton
State
NJ
Zip
07860-5240
Phone Number
973-756-1005

License Information

License Number
28ri01476400
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edmund Potocki?

The NPI number of Edmund Potocki is 1639595051. It was assigned on March 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Edmund Potocki?

Edmund Potocki is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri01476400.

Where does Edmund Potocki practice?

The practice location is 123 Columbia Dr, Matshalls Creek, PA 18335. The office can be reached at 570-223-2600 (phone) or 570-223-2600 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639595051 directly on the NPPES registry website.

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