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Kim Porter, RPH
Pharmacist in Petersburg, Texas
NPI 1457997850

Kim Porter is a Pharmacist based in Petersburg, TX. Kim Porter practices in Petersburg, TX and has the professional credentials of RPH. The NPI Number for Kim Porter is 1457997850 and holds a License No. 2350 (Texas).

The current practice location address for Kim Porter is 1522 Main Street, Petersburg, TX and can be reached out via phone at 806-667-2231 and via fax at 806-667-0170.

Location: 1522 Main Street, Petersburg, TX, 79250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457997850
Provider Name
Kim Porter
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1522 Main Street, Petersburg, TX, 79250
Phone Number
806-667-2231
Fax Number
806-667-0170
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140165 05 TX
institution
Provider Business Practice Location Address Details
Address
1522 Main Street
City
Petersburg
State
Texas
Zip
79250
Phone Number
806-667-2231
Fax Number
806-667-0170
person
Provider Business Mailing Address Details
Address
1522 Main Street
City
Petersburg
State
Texas
Zip
79250
Phone Number
806-667-2231
Fax Number
806-667-0170
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
20809 (Texas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
2350 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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