Organization
POTOMAC PHARMACY AND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MEJIA (OWNER)
(720) 237-9967
Entity
Organization
Contact information
Practice address
13590 E MISSISSIPPI AVE, AURORA, CO 80012-3588
(720) 237-9967
Mailing address
13590 E MISSISSIPPI AVE, AURORA, CO 80012-3588
(720) 237-9967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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