Provider Demographics
NPI:1578562120
Name:WOOD DISCOUNT PHARMACY, INC.
Entity Type:Organization
Organization Name:WOOD DISCOUNT PHARMACY, INC.
Other - Org Name:WOOD DISCOUNT PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, CDE, CONSULTANT
Authorized Official - Phone:205-621-0069
Mailing Address - Street 1:205 BUCK CREEK PLZ
Mailing Address - Street 2:PO BOX 590
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-7004
Mailing Address - Country:US
Mailing Address - Phone:205-621-0069
Mailing Address - Fax:205-621-1774
Practice Address - Street 1:205 BUCK CREEK PLZ
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-7004
Practice Address - Country:US
Practice Address - Phone:205-621-0069
Practice Address - Fax:205-621-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL111642OtherSTATE PHARMACY PERMIT
AL0129545OtherNCPDP NUMBER
AL111642OtherSTATE PHARMACY PERMIT