Individual
JACOB POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
104 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 224-0931
Mailing address
1100 REVOLUTION MILL DR STE 10, GREENSBORO, NC 27405-5067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
29373
NC
1835P2201X
Ambulatory Care Pharmacist
Primary
700355
NC
Other
Enumeration date
05/20/2020
Last updated
10/07/2022
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