Portland Prescription Shop Pllc

NPI #1043612880 in Portland, Tennessee

Provider Information

NPI Number
1043612880
Entity Type
Organization
Organization Name
Portland Prescription Shop Pllc
Primary Specialty
Internal Medicine
Enumeration Date
Sep 24, 2014
Last Updated
Aug 24, 2023

Practice Location

Address
705 S BROADWAY ST
ZIP Code
37148-1628
Phone
(615) 323-5050

Authorized Official

Name
MR. MICHAEL E STINNETT, RPH
Title
CEO
Phone
(270) 392-4248

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Internal Medicine

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