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Contact Information

PORTER DRUG INC
621 STATE AVENUE
HAMPTON, IL61256
 Phone: 309-755-3862
 Fax: 309-755-4126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PORTER DRUG INC

NPI # 1164587762
LBN Legal business name PORTER DRUG INC
Authorized official RICHARD PORTER - (OWNER RPH)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 1423184 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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