JORDAN PORTER

BOISE, ID
NPI1033510789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7032)
Enumeration Date2014-09-12
Last Update Date2014-09-12
Business Address
-- JORDAN PORTER PharmD
10500 W OVERLAND RD
BOISE, ID 83709-1435
Phone number: 208-376-1382
Mailing Address
-- JORDAN PORTER PharmD
3080 W CEDAR GROVE ST
MERIDIAN, ID 83646-2909
Phone number:
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