MRS. Theresa Denise Porter

NPI #1972742757 in Catlettsburg, Kentucky

Provider Information

NPI Number: 1972742757
Entity Type: Individual
Name: MRS. Theresa Denise Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 18, 2009
Last Updated: Feb 18, 2009

Practice Location

Address: 11515 ADAMS DR
City: Catlettsburg
State: Kentucky
ZIP Code: 41129-9700
Phone: (606) 929-4118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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