Individual
BREANNA LAINE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1508 BEGLIS PKWY, SULPHUR, LA 70663-5606
(337) 625-2660
Mailing address
2577 MALL RD STE B, FLORENCE, AL 35630-1684
(256) 246-2433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0020208
OR
183500000X
Pharmacist
1-123712
KS
183500000X
Pharmacist
Primary
18848
AL
183500000X
Pharmacist
20760
OK
183500000X
Pharmacist
226768
AK
183500000X
Pharmacist
24412
NV
183500000X
Pharmacist
5302416426
MI
183500000X
Pharmacist
57923
TX
183500000X
Pharmacist
PST.22481
LA
Other
Enumeration date
08/27/2018
Last updated
04/18/2025
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