Organization
THROGMORTON POWLESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C POWLESS RPH (PHARMACIST OWNER)
(618) 662-2174
Entity
Organization
Contact information
Practice address
123 E NORTH AVE, FLORA, IL 62839-2028
(618) 662-2174
Mailing address
123 E NORTH AVE, PO BOX 577, FLORA, IL 62839-2028
(618) 662-2174
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
3336C0003X
Community/Retail Pharmacy
—
IL
3336C0004X
Compounding Pharmacy
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1422548
NABP
IL
05
—
370627101001
—
IL
Enumeration date
11/10/2006
Last updated
09/11/2025
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