Organization
IRWIN-POTTER PHARMACY LLC
Active
Other names
Irwin-Potter Drug
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
(620) 842-3184
Mailing address
PO BOX 107, ANTHONY, KS 67003
(620) 842-5119
(620) 842-3184
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-13056
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148021
PK
—
Enumeration date
09/23/2014
Last updated
09/19/2025
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