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Individual

MR. JOSEPH BERNARD POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
600 W KARSCH BLVD, FARMINGTON, MO 63640-3342
(573) 747-1591
(573) 747-0761
Mailing address
600 W KARSCH BLVD, FARMINGTON, MO 63640-3342
(573) 747-1591
(573) 747-0761

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001024188
MO

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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