Individual
BETH ELISE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
(304) 812-0716
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012682
WV
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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