Individual
MEGAN E PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11144 RENNER BLVD, LENEXA, KS 66219-9621
(913) 647-4610
Mailing address
21719 W 95TH TER, LENEXA, KS 66220-9754
(913) 485-2773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14480
KS
Other
Enumeration date
08/11/2008
Last updated
03/25/2021
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