Porter Drug Store, Inc.

NPI 1073539235 - Pharmacist - 183500000X

NPI Details
NPI 1073539235
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICK PATRICK
Position PHARMACIST IN CHARGE/OWNER
Phone (620) 325-2671
Fax
Practice Location
506 MAIN ST
NEODESHA KS, 66757-1739, US
Phone (620) 325-2671
Fax
Business Location
506 MAIN ST
NEODESHA KS, 66757-1739, US
Phone (620) 325-2671
Fax
Toxanomy
Taxonomy Code 183500000X
License State Kansas
License Number 2-04548
Remove 1073539235 NPI Number
 

According to our database, Porter Drug Store, Inc. NPI is 1073539235, taxonomy code is 183500000X and license number is 2-04548, license state is located at Kansas. Porter Drug Store, Inc. physically located at 506 Main St, Neodesha KS, 66757-1739. NPI Number 1033115704 has the healthcare provider type.

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1073539235 NPI number is provided on an as is basis without warranty of any kind. 1073539235 is maintained by the National Plan & Provider Enumeration System. The contents of Porter Drug Store, Inc. are for informational purposes only.