Provider Demographics
NPI:1659350817
Name:WORLEY, KATHERINE ANN (RPH, CGP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:WORLEY
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2641
Mailing Address - Country:US
Mailing Address - Phone:717-629-6724
Mailing Address - Fax:717-393-6071
Practice Address - Street 1:2001 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2641
Practice Address - Country:US
Practice Address - Phone:717-629-6724
Practice Address - Fax:717-393-6071
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-031739-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist