Organization
PORTICO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EUGENE FLOTO PHARMACIST (OWNER/MANAGER)
(208) 288-4341
Entity
Organization
Contact information
Practice address
3355 E LOUISE ST, MERIDIAN, ID 83642
(208) 288-4341
Mailing address
3355 E LOUISE ST, MERIDIAN, ID 83642
(208) 288-4341
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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