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1477961779
TABITHA LAYNE WORTHAM
BELLA VISTA, AR
NPI
1477961779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD12846)
Enumeration Date
2014-07-30
Last Update Date
2014-07-30
Business Address
-- TABITHA LAYNE WORTHAM PharmD
3499 BELLA VISTA WAY
BELLA VISTA, AR 72714-5740
Phone number: 479-273-9136
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Mailing Address
-- TABITHA LAYNE WORTHAM PharmD
3499 BELLA VISTA WAY
BELLA VISTA, AR 72714-5740
Phone number: 479-273-9136
Copy
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