Individual
MR. JOHNNY LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD (PHARMACIST)
Contact information
Practice address
826 N SEBASTIAN, WEST HELENA, AR 72390-1821
(870) 572-3996
Mailing address
PO BOX 100, ROE, AR 72134-0100
(870) 241-3858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06940
AR
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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