Mandy Johannes Wortock, PHARM.D.

NPI #1235127804 in Bay Pines, Florida

Provider Information

NPI Number: 1235127804
Entity Type: Individual
Name: Mandy Johannes Wortock, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Oct 7, 2005
Last Updated: Jul 16, 2007

Practice Location

Address: 10000 BAY PINES BLVD
Address 2: DEPT 119
City: Bay Pines
State: Florida
ZIP Code: 33744
Phone: (727) 398-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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