Individual
ERIC POTRYKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
4111 BROADWAY APT 629, KANSAS CITY, MO 64111-2797
(816) 825-4125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-109524
KS
183500000X
Pharmacist
Primary
2020030193
MO
Other
Enumeration date
08/25/2020
Last updated
09/14/2020
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