Individual
JENA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 US HIGHWAY 401 S, LAURINBURG, NC 28352-5089
(910) 277-7771
(910) 277-7618
Mailing address
901 US HIGHWAY 401 S, LAURINBURG, NC 28352-5089
(910) 277-7771
(910) 277-7618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19255
NC
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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