Individual
MR. MARK DENNIS POTRYKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3900 UNIVERSITY AVE, PHILADELPHIA, PA 19104
(215) 823-6366
Mailing address
6806 N 11TH ST, PHILADELPHIA, PA 19126-2806
(215) 549-6492
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP0338926R
PA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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