Individual
DR. CHAD ALLEN PORSBORG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6900
(701) 530-6940
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4703
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703
NORTH DAKOTA PHARMACY LIC
ND
Enumeration date
06/08/2006
Last updated
07/08/2007
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