Individual
TABITHA LAYNE WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3499 BELLA VISTA WAY, BELLA VISTA, AR 72714-5740
(479) 273-9136
Mailing address
3499 BELLA VISTA WAY, BELLA VISTA, AR 72714-5740
(479) 273-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12846
AR
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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