Provider Demographics
NPI:1518372911
Name:WOOD, BRANDI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:
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:PO BOX 1140
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-1140
Mailing Address - Country:US
Mailing Address - Phone:865-947-5235
Mailing Address - Fax:865-947-8358
Practice Address - Street 1:604 E EMORY RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3521
Practice Address - Country:US
Practice Address - Phone:865-947-5235
Practice Address - Fax:865-947-8358
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist