Individual
MR. ANDREW PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 ROUTE 88, CARMICHAELS, PA 15320-1173
(724) 966-5237
(724) 966-9330
Mailing address
PO BOX 159, DUNBAR, PA 15431-0159
(724) 626-8739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034354L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-1-17523
PHARMACIST LICENSE NUMBER
OH
01
—
RP034354L
PHARMACIST LICENSE NUMBE
PA
Enumeration date
04/02/2007
Last updated
07/08/2007
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