Provider Demographics
NPI:1497378673
Name:POTEET, BILLY JAMES (RPH)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:JAMES
Last Name:POTEET
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5234 89TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3548
Mailing Address - Country:US
Mailing Address - Phone:806-798-1021
Mailing Address - Fax:
Practice Address - Street 1:5234 89TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3548
Practice Address - Country:US
Practice Address - Phone:806-798-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179881835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric