Portico Pharmacy

NPI #1033382304 in Meridian, Idaho

Provider Information

NPI Number
1033382304
Entity Type
Organization
Organization Name
Portico Pharmacy
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Apr 8, 2008
Last Updated
Apr 8, 2008

Practice Location

Address
3355 E LOUISE ST
State
Idaho
ZIP Code
83642
Phone
(208) 288-4341

Authorized Official

Name
MR. ROBERT EUGENE FLOTO, PHARMACIST
Title
OWNER/MANAGER
Phone
(208) 288-4341

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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