Provider Demographics
NPI:1295060572
Name:WORF, ALICIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:WORF
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 1:9801 HOLLY SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4623
Mailing Address - Country:US
Mailing Address - Phone:919-303-0834
Mailing Address - Fax:919-303-3761
Practice Address - Street 1:9801 HOLLY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-4623
Practice Address - Country:US
Practice Address - Phone:919-303-0834
Practice Address - Fax:919-303-3761
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist