DOUGLAS KENJI POTTER

LONGMONT, CO
NPI1790085108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CO  14641)
Enumeration Date2010-11-01
Last Update Date2010-11-01
Business Address
DOUGLAS KENJI POTTER R.PH.
1632 HOVER ST
LONGMONT, CO 80501-2441
Phone number: 303-776-0508
Mailing Address
DOUGLAS KENJI POTTER R.PH.
1632 HOVER ST
LONGMONT, CO 80501-2441
Phone number: 303-776-0508
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