Individual
MR. KIRK CHAPMAN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3701 S CARSON ST, CARSON CITY, NV 89701-5534
(775) 882-3116
(775) 882-4528
Mailing address
3701 S CARSON ST, CARSON CITY, NV 89701-5534
(775) 882-3116
(775) 882-4528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07247
NV
Other
Enumeration date
05/29/2014
Last updated
08/12/2014
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