Provider Demographics
NPI:1073118915
Name:WOHL, JODI (RPH)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:WOHL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 EQUESTRIAN LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-5161
Mailing Address - Country:US
Mailing Address - Phone:856-427-0304
Mailing Address - Fax:
Practice Address - Street 1:1000 KRESSON RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9607
Practice Address - Country:US
Practice Address - Phone:856-396-3711
Practice Address - Fax:856-396-3717
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01786900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty