| NPI | 1942034376 |
|---|---|
| Doing Business As | PORTER'S PHARMACY & COMPOUNDING LAB |
| Entity Type | Organization |
| Authorized Contact | MARY ANN ANDRESEN Compliance Officer 740-317-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |