Organization
PORTER DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK PORTER (PHARMACIST IN CHARGE/OWNER)
(620) 325-2671
Entity
Organization
Contact information
Practice address
506 MAIN ST, NEODESHA, KS 66757-1739
(620) 325-2671
Mailing address
506 MAIN ST, NEODESHA, KS 66757-1739
(620) 325-2671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2-04548
KS
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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