Provider Demographics
NPI:1376798694
Name:WOODRUFF, NATALIE JOY (RPH)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JOY
Last Name:WOODRUFF
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 1:8423 REEL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8944
Mailing Address - Country:US
Mailing Address - Phone:317-858-8451
Mailing Address - Fax:
Practice Address - Street 1:8423 REEL CREEK DR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-8944
Practice Address - Country:US
Practice Address - Phone:317-858-8451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013137A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist