Provider Demographics
NPI:1134865074
Name:MEDWORX LLC
Entity type:Organization
Organization Name:MEDWORX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:ALCANTARA
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-850-4579
Mailing Address - Street 1:PO BOX 3662
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3662
Mailing Address - Country:US
Mailing Address - Phone:360-876-5594
Mailing Address - Fax:360-876-5375
Practice Address - Street 1:1397 OLNEY AVE SE SUITE 109
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-4000
Practice Address - Country:US
Practice Address - Phone:350-876-5594
Practice Address - Fax:360-876-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy