Individual
MR. SCOTT ALLEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH PHARM D
Contact information
Practice address
604 N 5TH AVE, SANDPOINT, ID 83864-1520
(208) 263-1408
(208) 265-8784
Mailing address
604 N FIFTH AVE, SANDPOINT, ID 83864-1520
(208) 263-1408
(208) 265-8784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5055
ID
Other
Enumeration date
10/04/2005
Last updated
03/08/2022
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