Provider Demographics
NPI:1780075390
Name:WORKMAN, DEBBIE (RPH)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:WORKMAN
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:PO BOX 1145
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785-1145
Mailing Address - Country:US
Mailing Address - Phone:727-542-4420
Mailing Address - Fax:
Practice Address - Street 1:109 8TH ST
Practice Address - Street 2:
Practice Address - City:BELLEAIR BEACH
Practice Address - State:FL
Practice Address - Zip Code:33786-3220
Practice Address - Country:US
Practice Address - Phone:727-542-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 34753183500000X
FLPU 6822183500000X
CA45000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist