Jessica Marie Pothast, PHARMD

NPI #1912139668 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1912139668
Entity Type: Individual
Name: Jessica Marie Pothast, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 13, 2009
Last Updated: Jan 24, 2013

Practice Location

Address: 208 W CASABLANCA AVE
City: Cannon Afb
State: New Mexico
ZIP Code: 88103-5009
Phone: (575) 784-4028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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