Aleesha Porter, RPH
Individual provider Active NPI Pharmacist · Laurel, MT
NPI 1811517204 · NPPES record last updated Apr 26, 2020
Key facts
- NPI
- 1811517204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA-PHA-LIC-63043 (MT)
- Practice address
- 307 SE 4TH St
Laurel, MT 59044-3324 - Phone
- (406) 628-8746
- NPI assigned
- Apr 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-63043 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-63043 | MT | Yes |
Addresses
Primary practice location
307 SE 4TH St
Laurel, MT 59044-3324
Mailing address
307 SE 4TH St
Laurel, MT 59044-3324
Phone (406) 628-8746
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.