Provider Demographics
NPI:1558650887
Name:WOODS, WENDY DENISE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:DENISE
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHARMD, RPH
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 458
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:VA
Mailing Address - Zip Code:24280-0458
Mailing Address - Country:US
Mailing Address - Phone:276-883-4015
Mailing Address - Fax:
Practice Address - Street 1:1094 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-5012
Practice Address - Country:US
Practice Address - Phone:276-889-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist