Wormack-Walker, Constance Inez Vanessa

Wormack-Walker, Constance Inez Vanessa is an sole proprietor health care provider with primary practice located at 11908 Munbury Dr , Dade City FL 33525-5749. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Wormack-Walker, Constance Inez Vanessa can be contacted via phone (352) 567-8119.

Contact Information

Primary practice address
11908 Munbury Dr Dade City FL 33525-5749
Phone: (352) 567-8119
Fax: (352) 567-8119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS0031956 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH024802 Georgia

Profile Details

NPI number 1588971774
LBN Legal business name Wormack-Walker, Constance Inez Vanessa
Credentials PHARM.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2010
Last updated Sep 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588971774 NPPES
Florida Other PS0031956 DOH PHARMACIST LICENSE

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