Organization
PORTERVILLE PHARMACY INC
Active
Organization
PORTERVILLE PHARMACY INC
Active
Other names
Porterville Pharmacy # 2
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADLY MIKHAEL (OWNER)
(951) 750-9050
Entity
Organization
Contact information
Practice address
1270 W HENDERSON AVE, PORTERVILLE, CA 93257-1455
(559) 793-4410
(559) 782-9091
Mailing address
1270 W HENDERSON AVE, PORTERVILLE, CA 93257-1455
(559) 793-4410
(559) 782-9091
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55892
CA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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