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POTTERS HOUSE APOTHECARY INC

Medical Equipment Supplier Yellow Pages

Peoria, Arizona

Provider NPI: 1922249127

Organization Information:
Organization Name:  POTTERS HOUSE APOTHECARY INC


Practice Location:
21585 N 77TH AVE STE 1500 PEORIA, AZ 85382 US
Tel: 623-362-9322  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
AZY005043

Other Provider Identifiers:

IssuerNumberStateType
432524AZ05
PK211947401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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