Individual
ARA POTESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
2120 E SE LOOP 323, TYLER, TX 75701-8318
(903) 593-1507
Mailing address
2310 HAVERHILL DR APT 421, TYLER, TX 75707-4522
(806) 681-5665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69537
TX
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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