Porter Drug Store, Inc.

NPI #1073539235 in Neodesha, Kansas

Provider Information

NPI Number
1073539235
Entity Type
Organization
Organization Name
Porter Drug Store, Inc.
Primary Specialty
Pharmacist
Enumeration Date
Jul 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
506 MAIN ST
State
Kansas
ZIP Code
66757-1739
Phone
(620) 325-2671

Authorized Official

Name
MR. PATRICK PORTER
Title
PHARMACIST IN CHARGE/OWNER
Phone
(620) 325-2671

Specialties & Taxonomy Codes

Specialty
Pharmacist

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