Provider Demographics
NPI:1497885016
Name:WOOD, MELISSA BRADFORD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BRADFORD
Last Name:WOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-5051
Mailing Address - Country:US
Mailing Address - Phone:856-241-2351
Mailing Address - Fax:856-241-3534
Practice Address - Street 1:2626 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-1936
Practice Address - Country:US
Practice Address - Phone:856-963-0300
Practice Address - Fax:856-963-2202
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003483183500000X
NJ28RI03108000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist