Individual
MRS. TABITHA JILL WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E MAIN ST, LEXINGTON, OH 44904-1336
(419) 884-6107
(419) 884-6220
Mailing address
355 E MAIN ST, LEXINGTON, OH 44904-1336
(419) 884-6107
(419) 886-6220
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09317579
OH
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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