Provider Demographics
NPI:1114226206
Name:WOODS, MEREDITH GOVE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:GOVE
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:CHRISTINE
Other - Last Name:GOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2713 PHILADELPHIA PIKE
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-2523
Mailing Address - Country:US
Mailing Address - Phone:302-798-9520
Mailing Address - Fax:302-798-6610
Practice Address - Street 1:2713 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2523
Practice Address - Country:US
Practice Address - Phone:302-798-9520
Practice Address - Fax:302-798-6610
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444371183500000X
SC12636183500000X
DEA1-0004037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist