Individual
DR. JOSHUA RYAN POTRZEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCGP
Contact information
Practice address
2525 S LAKE PARK BLVD, SALT LAKE CITY, UT 84120-8230
(801) 982-4733
Mailing address
2525 S LAKE PARK BLVD, SALT LAKE CITY, UT 84120-8230
(801) 982-4733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202210735
VA
1835G0303X
Geriatric Pharmacist
Primary
10628594-1701
UT
Other
Enumeration date
10/07/2011
Last updated
12/03/2018
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