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1386050359
CHARLES POTTENGER
LEWISTON, ID
NPI
1386050359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7070)
Enumeration Date
2014-07-10
Last Update Date
2015-01-09
Business Address
-- CHARLES POTTENGER PharmD
523 THAIN RD
LEWISTON, ID 83501-5530
Phone number: 208-743-5515
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Mailing Address
-- CHARLES POTTENGER PharmD
523 THAIN RD
LEWISTON, ID 83501-5530
Phone number: 208-743-5515
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