Organization
PORTER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM MARK PORTER RPH (OWNER PORTER DRUG)
(806) 667-3476
Entity
Organization
Contact information
Practice address
1522 MAIN, PETERSBURG, TX 79250
(806) 667-2231
(806) 667-9401
Mailing address
BOX 290, 1522 MAIN, PETERSBURG, TX 79250-0290
(806) 667-2231
(806) 667-9401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02350
TX
Other
Enumeration date
10/13/2006
Last updated
07/03/2008
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