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Portico Pharmacy
Student in an Organized Health Care Education/Training Program in Meridian, Idaho
NPI 1033382304

Portico Pharmacy is a Student in an Organized Health Care Education/Training Program based in Meridian, ID. Portico Pharmacy practices in Meridian, ID. The NPI Number for Portico Pharmacy is 1033382304 and holds a License No. (Idaho).

The current practice location address for Portico Pharmacy is 3355 E Louise St, Meridian, ID and can be reached out via phone at 208-288-4341. You can also correspond with Portico Pharmacy through the mailing address at 3355 E LOUISE ST, MERIDIAN, ID - 83642 (mailing address contact number: 208-288-4341).

Location: 3355 E Louise St, Meridian, ID, 83642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033382304
Provider Name
Portico Pharmacy
Credential
Provider Entity Type
Organization
Address
3355 E Louise St, Meridian, ID, 83642
Phone Number
208-288-4341
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3355 E Louise St
City
Meridian
State
Idaho
Zip
83642
Phone Number
208-288-4341
Fax Number
person
Provider Business Mailing Address Details
Address
3355 E Louise St
City
Meridian
State
Idaho
Zip
83642
Phone Number
208-288-4341
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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