Provider Demographics
NPI:1962685560
Name:COX, WOODROW WILSON JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:WOODROW
Middle Name:WILSON
Last Name:COX
Suffix:JR
Gender:M
Credentials:RPH
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Mailing Address - Street 1:9710 OCEAN HWY # 17
Mailing Address - Street 2:UNIT 1
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7585
Mailing Address - Country:US
Mailing Address - Phone:843-235-4666
Mailing Address - Fax:843-235-9630
Practice Address - Street 1:9710 OCEAN HWY # 17
Practice Address - Street 2:UNIT 1
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7585
Practice Address - Country:US
Practice Address - Phone:843-235-4666
Practice Address - Fax:843-235-9630
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC3610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist