Jordan Porter, PHARMD

NPI #1033510789 in Boise, Idaho

Provider Information

NPI Number: 1033510789
Entity Type: Individual
Name: Jordan Porter, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 12, 2014
Last Updated: Sep 12, 2014

Practice Location

Address: 10500 W OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-1435
Phone: (208) 376-1382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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