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Individual
JACOB POTTS
Active
Individual
JACOB POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
29373
NC
1835P2201X
Ambulatory Care Pharmacist
Primary
700355
NC
Other
Enumeration date
05/20/2020
Last updated
10/07/2022
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