Tabitha Layne Wortham, PHARMD
NPI #1477961779 in Bella Vista, Arkansas
Provider Information
- NPI Number
- 1477961779
- Entity Type
- Individual
- Name
- Tabitha Layne Wortham, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Jul 30, 2014
- Last Updated
- Jul 30, 2014
Practice Location
- Address
- 3499 BELLA VISTA WAY
- City
- Bella Vista
- State
- Arkansas
- ZIP Code
- 72714-5740
- Phone
- (479) 273-9136
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