Individual
KEVIN L POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1345B LAKE MURRAY BLVD, IRMO, SC 29063-2839
(803) 749-5924
(803) 749-3763
Mailing address
1345B LAKE MURRAY BLVD, IRMO, SC 29063-2839
(803) 749-5924
(803) 749-3763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7519
SC
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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