Individual
NICHOLAS BYAM PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2929 W VALENCIA RD, TUCSON, AZ 85746-8036
(520) 578-0138
Mailing address
2929 W VALENCIA RD, TUCSON, AZ 85746-8036
(520) 578-0138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016675
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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