Individual
DR. AMY DIANE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1550 SW 27TH ST, EL RENO, OK 73036-5852
(405) 262-0293
Mailing address
5466 15TH ST SW, EL RENO, OK 73036-8883
(806) 676-2031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13644
OK
Other
Enumeration date
09/11/2012
Last updated
05/12/2025
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