Provider Demographics
NPI:1861008856
Name:WORTHY PHARMACY LLC
Entity Type:Organization
Organization Name:WORTHY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WORTH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:716-804-7979
Mailing Address - Street 1:202 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2606
Mailing Address - Country:US
Mailing Address - Phone:716-804-7979
Mailing Address - Fax:716-790-8505
Practice Address - Street 1:202 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2606
Practice Address - Country:US
Practice Address - Phone:716-804-7979
Practice Address - Fax:716-790-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy