Individual
MR. MICHAEL LEWIS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1337A S IRBY ST, FLORENCE, SC 29505
(843) 667-0759
(843) 667-0506
Mailing address
1337A S IRBY ST, FLORENCE, SC 29505
(843) 667-0759
(843) 667-0506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4213586
NABP
SC
05
—
774367
—
SC
Enumeration date
10/23/2006
Last updated
07/08/2007
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