Individual
CRAIG PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10541 CONNECTICUT AVE, KENSINGTON, MD 20895-2401
(301) 945-4273
Mailing address
10541 CONNECTICUT AVE, KENSINGTON, MD 20895-2401
(301) 945-4273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23635
MD
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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