PORTICO PHARMACY NPI 1033382304

NPI Information

PORTICO PHARMACY is a student in an organized health care education training program in Meridian, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. PORTICO PHARMACY NPI is 1033382304. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3355 E LOUISE ST
MERIDIAN, ID
ZIP 83642
Phone: (208) 288-4341

The provider's authorized official is Robert Eugene Floto .
The authorized official title is Owner/manager and has the following contact phone number (208) 288-4341.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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