Provider Demographics
NPI:1225653843
Name:WOODIE, ANGELA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:WOODIE
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 1:598 EGGLESTON RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:VA
Mailing Address - Zip Code:24136-3148
Mailing Address - Country:US
Mailing Address - Phone:540-626-2939
Mailing Address - Fax:
Practice Address - Street 1:160 KINTER WAY
Practice Address - Street 2:
Practice Address - City:PEARISBURG
Practice Address - State:VA
Practice Address - Zip Code:24134-2218
Practice Address - Country:US
Practice Address - Phone:540-921-2483
Practice Address - Fax:540-921-0226
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist