Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petersburg Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1538259403

Petersburg Pharmacy, Inc is a Community/Retail Pharmacy in Petersburg, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Centre Dr Ste 100
Petersburg, IL 62675-9467
Phone: (217) 632-7777
Fax: (217) 632-7618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054.015430 (IL)

Record details

NPI number1538259403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Bagot — Pharmacist/Owner · (217) 632-7777
NPI enumeratedOctober 13, 2006
Last updated in NPPESJune 2, 2015
Mailing address1 Centre Dr, Suite 100, Petersburg, IL 62675-9467

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