Charles Pottenger, PHARMD

NPI #1386050359 in Lewiston, Idaho

Provider Information

NPI Number: 1386050359
Entity Type: Individual
Name: Charles Pottenger, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 10, 2014
Last Updated: Jan 9, 2015

Practice Location

Address: 523 THAIN RD
City: Lewiston
State: Idaho
ZIP Code: 83501-5530
Phone: (208) 743-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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