Provider Demographics
NPI:1699227090
Name:WOODWARD, TERRENCE (PHARM D)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:
Last Name:WOODWARD
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ROSERY RD NE
Mailing Address - Street 2:APT# 2302
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3800
Mailing Address - Country:US
Mailing Address - Phone:813-420-2905
Mailing Address - Fax:
Practice Address - Street 1:10000 BAY PINES BLVD
Practice Address - Street 2:
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744-8200
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS557421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist