Healthcare Provider Details

I. General information

NPI: 1629202809
Provider Name (Legal Business Name): FRANK E WORTH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 05/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S H ST
BAKERSFIELD CA
93304-4512
US

IV. Provider business mailing address

PO BOX 6233
BAKERSFIELD CA
93386-6233
US

V. Phone/Fax

Practice location:
  • Phone: 661-833-1680
  • Fax: 661-833-1510
Mailing address:
  • Phone: 661-872-1931
  • Fax: 661-872-1931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: