Individual
DAVID L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13733 N FOUNTAIN HILLS BLVD, FOUNTAIN HILLS, AZ 85268-3730
(480) 837-1690
Mailing address
13733 N FOUNTAIN HILLS BLVD, FOUNTAIN HILLS, AZ 85268-3730
(480) 837-1690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025507
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S025507
—
AZ
Enumeration date
10/17/2021
Last updated
10/17/2021
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