MEDICARE: JOHN PORCH PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03443703	OH

General Provider Information

NPI Number	:	1013888635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PORCH PHARMD.

Provider Business Mailing Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:	866-620-4027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ JOHN PORCH PHARMD.” Practice Location

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