Provider Demographics
NPI:1386233211
Name:OAKWOOD VILLAGE UNIVERSITY WOODS HOMES, INC
Entity Type:Organization
Organization Name:OAKWOOD VILLAGE UNIVERSITY WOODS HOMES, INC
Other - Org Name:OAKWOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STUDNICKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:608-230-4404
Mailing Address - Street 1:6201 MINERAL POINT RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4503
Mailing Address - Country:US
Mailing Address - Phone:608-230-4404
Mailing Address - Fax:
Practice Address - Street 1:5565 TANCHO DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-1901
Practice Address - Country:US
Practice Address - Phone:608-230-4616
Practice Address - Fax:833-398-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy