Provider Demographics
NPI:1457893414
Name:POTEET, ERIN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:POTEET
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S LIMESTONE ST
Mailing Address - Street 2:ROOM 129
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-257-6451
Mailing Address - Fax:859-323-6898
Practice Address - Street 1:830 S LIMESTONE ST
Practice Address - Street 2:ROOM 129
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-6451
Practice Address - Fax:859-323-6898
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist