Provider Demographics
NPI:1043260045
Name:HAWORTH, MARGARET S (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:S
Last Name:HAWORTH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ORLANDO VA HEALTHCARE CENTER
Mailing Address - Street 2:5201 RAYMOND ST.
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:407-629-1599
Mailing Address - Fax:407-599-1584
Practice Address - Street 1:ORLANDO VA HEALTHCARE CENTER
Practice Address - Street 2:5201 RAYMOND ST.
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-629-1599
Practice Address - Fax:407-599-1584
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist