Provider Demographics
NPI:1275298143
Name:WOODARD, CIERA NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CIERA
Middle Name:NICOLE
Last Name:WOODARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5817 CHATMOSS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5465
Mailing Address - Country:US
Mailing Address - Phone:919-924-3604
Mailing Address - Fax:
Practice Address - Street 1:11201 DURANT RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-9752
Practice Address - Country:US
Practice Address - Phone:919-518-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist