Individual
POORNIMA POTHUMARTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
18125 N US HIGHWAY 41 STE 107, LUTZ, FL 33549-4498
(813) 333-0750
Mailing address
18125 N US HIGHWAY 41 STE 107, LUTZ, FL 33549-4498
(813) 333-0750
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PS51171
FL
Other
Enumeration date
07/21/2015
Last updated
11/20/2021
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