Most Relevant Information
Provider Data
| NPI Number: | 1003536806 |
| Provider Name: | ALEXANDRA PORTER |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PST.024500 |
Most Important Dates
| Enumeration Date: | 08/31/2022 |
| Last Updated: | 08/31/2022 |
Provider Practice Location
1421 BEGLIS PKWY
SULPHUR
LA
706635603
Practice Location Phone/Fax
| Phone: | 3375289918 |
| Fax: |
Provider Mailing Location
4550 BROOKLYN DR
SULPHUR
LA
706659380
Provider Mailing Phone/Fax
| Phone: | 3375322587 |
| Fax: |