Individual
THEODORE KENT WORSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM.D
Contact information
Practice address
1001 RIO VISTA DR, FALLON TRIBAL HEALTH CENTER, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-2314
Mailing address
1001 RIO VISTA DR, FALLON TRIBAL HEALTH CENTER, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-2314
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
09734
NV
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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