Individual
MR. JOHN LESLIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
990 BAXTER AVE, LOUISVILLE, KY 40204-2064
(502) 585-3239
(502) 583-3162
Mailing address
10101 SYCAMORE SHOALS CT, LOUISVILLE, KY 40223-3354
(502) 244-1752
(502) 244-1752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007624
KY
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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