Provider Demographics
NPI:1821380510
Name:WORTHINGTON, PATRICIA K (RPH)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:K
Last Name:WORTHINGTON
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 1:9600 FALLS OF THE NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-0000
Mailing Address - Country:US
Mailing Address - Phone:919-845-0613
Mailing Address - Fax:919-846-5369
Practice Address - Street 1:9600 FALLS OF THE NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-0000
Practice Address - Country:US
Practice Address - Phone:919-845-0613
Practice Address - Fax:919-846-5369
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist