Portia W Licht, R PH
NPI #1306283734 in Waverly, Iowa
Provider Information
- NPI Number
- 1306283734
- Entity Type
- Individual
- Name
- Portia W Licht, R PH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- R PH
- Enumeration Date
- May 24, 2013
- Last Updated
- May 24, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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