Individual
DR. KENNETH WAYNE WORSHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
78 PERUVIAN PASO DRIVE UNIT 2, MARTINSBURG, WV 25405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024753A
IN
Other
Enumeration date
05/28/2014
Last updated
03/21/2017
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