Individual
KIMBERLEY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
135 RUTLEDGE AVE, ROOM 106, CHARLESTON, SC 29425-8903
(843) 876-0199
Mailing address
135 RUTLEDGE AVE, ROOM 106, CHARLESTON, SC 29425-8903
(843) 876-0199
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
9471
SC
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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