Potter, Douglas Kenji

Potter, Douglas Kenji is an sole proprietor health care provider with primary practice located at 1632 Hover St , Longmont CO 80501-2441. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Potter, Douglas Kenji can be contacted via phone (303) 776-0508.

Contact Information

Primary practice address
1632 Hover St Longmont CO 80501-2441
Phone: (303) 776-0508
Fax: (303) 684-8468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14641 Colorado

Profile Details

NPI number 1790085108
LBN Legal business name Potter, Douglas Kenji
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2010
Last updated Nov 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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