Edward Portillo, PHARMD

NPI 1952718066 · on the registry since 2014 · sole proprietor

Practice

Address: 2500 Overlook Ter
Madison, WI 53705
Phone: (608) 256-1901
Organisation at this address: Va Hospital
Madison Vamc
Madison Vamc
Veteran Health Administration
Veteran'S Health Administration
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 780

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin