Individual
MR. EDWIN RAY POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1116 W MAIN ST, FAIRFIELD, IL 62837-2324
(618) 842-6007
(618) 842-4816
Mailing address
1116 W MAIN ST, FAIRFIELD, IL 62837-2324
(618) 842-6007
(618) 842-4816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
332B00000X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009632011
BLUE CROSS BLUE SHIELD
IL
01
—
1453531
NABP
IL
05
—
371200692001
—
IL
Enumeration date
05/09/2006
Last updated
07/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us