Provider Demographics
NPI:1578537700
Name:KRIDNER, GEORGE WORTHINGTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WORTHINGTON
Last Name:KRIDNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 E BLUE BIRD AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1908
Mailing Address - Country:US
Mailing Address - Phone:714-981-6871
Mailing Address - Fax:949-673-1937
Practice Address - Street 1:13027 HADLEY ST STE B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4206
Practice Address - Country:US
Practice Address - Phone:562-698-6305
Practice Address - Fax:949-673-1937
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist