Organization
GLEASON PHARMACY SERVICES INC
Active
Other names
Potter Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A GLEASON PHARMD (PRESIDENT)
(217) 632-2287
Entity
Organization
Contact information
Practice address
200 S 6TH ST, PETERSBURG, IL 62675-1553
(217) 632-2287
(217) 632-2033
Mailing address
200 S 6TH ST, PETERSBURG, IL 62675-1553
(217) 632-2287
(217) 632-2033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
01/05/2017
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