Provider Demographics
NPI:1326320326
Name:WOO, EDWARD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:WOO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BRAYLON CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3089
Mailing Address - Country:US
Mailing Address - Phone:662-801-1841
Mailing Address - Fax:
Practice Address - Street 1:501 BRAYLON CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3089
Practice Address - Country:US
Practice Address - Phone:662-801-1841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29601183500000X
MS010220183500000X
SC12221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist