Individual
DONALD A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPT. 3068, LARAMIE, WY 82071-2000
(307) 766-6602
Mailing address
1000 E UNIVERSITY AVE, DEPT. 3068, LARAMIE, WY 82071-2000
(307) 766-6602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WY1666
WY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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