Individual
PAULA C POTRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W GOVERNMENT ST, BRANDON, MS 39042-2411
(601) 825-5905
Mailing address
1790 W GOVERNMENT ST, BRANDON, MS 39042-2411
(601) 825-5905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09617
MS
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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