EDWARD PORTILLO

MADISON, WI
NPI1952718066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  17505 - 40)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
Dr. EDWARD PORTILLO PharmD
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-256-1901
Mailing Address
Dr. EDWARD PORTILLO PharmD
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number:
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