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SCOTT KEITH WORKMAN PHARMACIST
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1295327526
Individual Registrant: SCOTT KEITH WORKMAN PHARMACIST
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2436 W TAHOE AVE CARUTHERS, CA 93609-9476 US
Tel: 559-864-3177 Fax: 559-864-3497
Tel: 559-864-3177 Fax: 559-864-3497
Contact information for business:
PO BOX 457 CARUTHERS, CA 93609-0457 US
Tel: 559-864-3177 Fax: 559-864-3497
Tel: 559-864-3177 Fax: 559-864-3497
Registration Information:
NPI: 1295327526
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 37004 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 205960 | CA | 05 |
