NPI 1477961779

Tabitha Layne Wortham, PHARMD

Practitioner Pharmacist Bella Vista, AR

Practice location

Address: 3499 Bella Vista Way, Bella Vista, AR 72714-5740
Phone: (479) 273-9136

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD12846 (AR)

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Registry record

NPI: 1477961779
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.