MRS. Ingeborg Porco

NPI #1760707533 in Walden, New York

Provider Information

NPI Number: 1760707533
Entity Type: Individual
Name: MRS. Ingeborg Porco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 5, 2010
Last Updated: Apr 5, 2010

Practice Location

Address: 78 OAK ST
City: Walden
State: New York
ZIP Code: 12586-1054
Phone: (845) 778-1388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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