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Fred E. Potts, Iv, Md, Llc
Non-Pharmacy Dispensing Site in Saint Joseph, Missouri
NPI 1467704890

Fred E. Potts, Iv, Md, Llc is a Non-Pharmacy Dispensing Site based in Los Angeles, MO. Fred E. Potts, Iv, Md, Llc practices in Saint Joseph, MO. The NPI Number for Fred E. Potts, Iv, Md, Llc is 1467704890 and holds a License No. (Missouri).

The current practice location address for Fred E. Potts, Iv, Md, Llc is 4906 Frederick Ave, Saint Joseph, MO and can be reached out via phone at 816-233-3700.

Location: 4906 Frederick Ave, Saint Joseph, MO, 90077-1726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467704890
Provider Name
Fred E. Potts, Iv, Md, Llc
Credential
Provider Entity Type
Organization
Address
4906 Frederick Ave, Saint Joseph, MO, 90077-1726
Phone Number
816-233-3700
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
4906 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-3246
Phone Number
816-233-3700
Fax Number
person
Provider Business Mailing Address Details
Address
4906 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-3246
Phone Number
816-233-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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