| NPI | 1922249127 |
|---|---|
| Doing Business As | POTTER'S HOUSE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | KEVIN BORG President/Pharmacist 623-362-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005043) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2016-03-14 |