Provider Demographics
NPI:1639491442
Name:WOODRUFF, ERIC N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:N
Last Name:WOODRUFF
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 1:9050 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:NY
Mailing Address - Zip Code:14006-9556
Mailing Address - Country:US
Mailing Address - Phone:716-549-0324
Mailing Address - Fax:
Practice Address - Street 1:9050 ERIE RD
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:NY
Practice Address - Zip Code:14006-9556
Practice Address - Country:US
Practice Address - Phone:716-549-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist