Edmund Potocki

NPI #1639595051 in Matshalls Creek, Pennsylvania

Provider Information

NPI Number: 1639595051
Entity Type: Individual
Name: Edmund Potocki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 10, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 123 COLUMBIA DR
City: Matshalls Creek
State: Pennsylvania
ZIP Code: 18335
Phone: (570) 223-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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