NPI 1033382304

Portico Pharmacy

Organisation Student in an Organized Health Care Education/Training Program Meridian, ID

Practice location

Address: 3355 E Louise St, Meridian, ID 83642
Phone: (208) 288-4341

Authorised official

Name: Robert Eugene Floto
Title: Owner/Manager
Phone: (208) 288-4341

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1033382304
Entity type: Organization
NPI issued: 8 Apr 2008
Record last updated: 8 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.