PORTER WALLENTINE

IDAHO FALLS, ID
NPI1598681330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  2881010)
Enumeration Date2026-06-25
Last Update Date2026-06-25
Business Address
PORTER WALLENTINE
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Mailing Address
PORTER WALLENTINE
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: