Organization
PORTER DRUG INC
Active
Other names
Porters Village RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J PORTER RPH (OWNER RPH)
(309) 755-3862
Entity
Organization
Contact information
Practice address
621 STATE AVENUE, HAMPTON, IL 61256
(309) 755-3862
(309) 755-4126
Mailing address
PO BOX 307, 621 STATE AVENUE, HAMPTON, IL 61256
(309) 755-3862
(309) 755-4126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1423184
NABP
IL
Enumeration date
12/26/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us