Individual
EDMUND POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 COLUMBIA DR, MATSHALLS CREEK, PA 18335
(570) 223-2600
(570) 223-2600
Mailing address
2 PINE VALLEY RD, NEWTON, NJ 07860-5240
(973) 756-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01476400
NJ
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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