Mr Allen Wayne Porter, is a
Pharmacist - Pharmacotherapy based in W St Paul, Minnesota. Mr Allen Wayne Porter is licensed to practice in Minnesota (license number 112856) and his current practice location is
2001 Robert St S, C/o Cub Pharmacy, W St Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 451-1113.
NPI number for Mr Allen Wayne Porter is 1942351093 and his current mailing address is 2001 Robert St S, C/o Cub Pharmacy, W St Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942351093.
Healthcare Provider's Profile
| Full Name | Mr Allen Wayne Porter |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist - Pharmacotherapy |
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| Location | 2001 Robert St S, W St Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942351093
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 08/30/2007
Medical Identifiers
Medical identifiers for Mr Allen Wayne Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942351093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835P1200X | Pharmacist - Pharmacotherapy | 112856 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Allen Wayne Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Allen Wayne Porter,
2001 Robert St S, C/o Cub Pharmacy,
W St Paul, MN 55118-3924
Ph: (651) 451-1113 | Mr Allen Wayne Porter,
2001 Robert St S, C/o Cub Pharmacy,
W St Paul, MN 55118-3924
Ph: (651) 451-1113 |
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