Southworth, Patricia A

Southworth, Patricia A is an sole proprietor health care provider with primary practice located at 6 Frank St , Ballston Lake NY 12019-2400. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Southworth, Patricia A can be contacted via phone (518) 441-6548.

Contact Information

Primary practice address
6 Frank St Ballston Lake NY 12019-2400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 35599 New York

Profile Details

NPI number 1194901199
LBN Legal business name Southworth, Patricia A
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2008
Last updated Dec 27th, 2018 - about 6 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 1194901199 NPPES
New York Other 35599 STATE PHARMACIST LIC.

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