Individual
JEFFERY TAYLOR POTTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2308 HIGHWAY 144, OWENSBORO, KY 42303-0175
(270) 926-7751
Mailing address
3220 SAINT ANN ST, OWENSBORO, KY 42303-7059
(270) 922-0395
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
020210
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051302286
IL
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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