Organization
IRWIN-POTTER PHARMACY LLC
Active
Other names
Irwin-Potter Drug LTC
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FREEMAN (PRESIDENT)
(620) 842-5119
Entity
Organization
Contact information
Practice address
202 W MAIN ST, ANTHONY, KS 67003-2728
(620) 842-5119
Mailing address
PO BOX 107, ANTHONY, KS 67003-0107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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