Pothast, Jessica Marie

Pothast, Jessica Marie is an individual health care provider with primary practice located at 208 W Casablanca Ave , Cannon Afb NM 88103-5009. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pothast, Jessica Marie can be contacted via phone (575) 784-4028.

Contact Information

Primary practice address
208 W Casablanca Ave Cannon Afb NM 88103-5009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03129369 Ohio

Profile Details

NPI number 1912139668
LBN Legal business name Pothast, Jessica Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Jan 24th, 2013 - about 12 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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