MICHAEL LEE PHORTH

VALLEJO, CA
NPI1144759465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  76512)
Enumeration Date2017-06-08
Last Update Date2019-10-21
Business Address
MICHAEL LEE PHORTH PHARMD
122 ROBLES WAY
VALLEJO, CA 94591-8039
Phone number: 707-554-6908
Mailing Address
MICHAEL LEE PHORTH PHARMD
632 CHAUCER LN
AMERICAN CANYON, CA 94503-4233
Phone number:
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