Provider Demographics
NPI:1467601005
Name:WOODS, JOSHUA NEAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NEAL
Last Name:WOODS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742-A EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42164
Mailing Address - Country:US
Mailing Address - Phone:270-651-5133
Mailing Address - Fax:
Practice Address - Street 1:742 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-2754
Practice Address - Country:US
Practice Address - Phone:270-651-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013275183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist