Ethel Worthon

NPI #1619251642 in Calumet City, Illinois

Provider Information

NPI Number: 1619251642
Entity Type: Individual
Name: Ethel Worthon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 10, 2011
Last Updated: Oct 10, 2011

Practice Location

Address: 522 TORRENCE AVE
City: Calumet City
State: Illinois
ZIP Code: 60409-3216
Phone: (708) 868-5669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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