Provider Demographics
NPI:1760811657
Name:WOOD, DAVID ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:WOOD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:407 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-5600
Mailing Address - Country:US
Mailing Address - Phone:802-626-3779
Mailing Address - Fax:
Practice Address - Street 1:4976 DARTMOUTH COLLEGE HWY
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1413
Practice Address - Country:US
Practice Address - Phone:603-747-3300
Practice Address - Fax:603-747-8272
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0107905183500000X
NH3926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist