Edmund Potocki, is a
Pharmacist based in Matshalls Creek, Pennsylvania. Edmund Potocki is licensed to practice in New Jersey (license number 28RI01476400) and his current practice location is
123 Columbia Dr, Matshalls Creek, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 223-2600.
NPI number for Edmund Potocki is 1639595051 and his current mailing address is 2 Pine Valley Rd, Newton, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639595051.
Healthcare Provider's Profile
Full Name | Edmund Potocki |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 123 Columbia Dr, Matshalls Creek, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639595051
- Provider Enumeration Date: 03/10/2014
- Last Update Date: 03/10/2014
Medical Identifiers
Medical identifiers for Edmund Potocki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639595051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 28RI01476400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edmund Potocki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edmund Potocki, 2 Pine Valley Rd, Newton, NJ 07860-5240 Ph: (973) 756-1005 | Edmund Potocki, 123 Columbia Dr, Matshalls Creek, PA 18335 Ph: (570) 223-2600 |
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