Provider Demographics
NPI:1467469510
Name:WOOD PHARMACY INC
Entity Type:Organization
Organization Name:WOOD PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:V
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:919-207-1446
Mailing Address - Street 1:1302 N JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-8867
Mailing Address - Country:US
Mailing Address - Phone:919-207-1446
Mailing Address - Fax:919-207-9032
Practice Address - Street 1:1302 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-8867
Practice Address - Country:US
Practice Address - Phone:919-207-1446
Practice Address - Fax:919-207-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0515510Medicaid
NC3875200001Medicare ID - Type Unspecified