Individual
CHARRELL S PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3307 N BROAD ST, PHILADELPHIA, PA 19140-5101
(215) 707-5098
Mailing address
3307 N BROAD ST, PHILADELPHIA, PA 19140-5101
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP449876
PA
Other
Enumeration date
12/15/2015
Last updated
03/04/2016
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