Porter, Johnny Wayne

Porter, Johnny Wayne is an individual health care provider with primary practice located at 16305 Dalmalley Ln , Dallas TX 75248-2325. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Porter, Johnny Wayne can be contacted via phone (972) 490-5091.

Contact Information

Primary practice address
16305 Dalmalley Ln Dallas TX 75248-2325
Fax: (214) 358-0746
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20808 Texas

Profile Details

NPI number 1558427773
LBN Legal business name Porter, Johnny Wayne
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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