Individual
MS. EMILY R POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8468
(253) 862-2822
Mailing address
1202 N 10TH PL, APT 1529, RENTON, WA 98057-5570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH6019946
WA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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