Provider Demographics
NPI:1962814541
Name:WOODCOCK, BARBARA ANN (RPH)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:WOODCOCK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-3683
Mailing Address - Country:US
Mailing Address - Phone:660-263-0494
Mailing Address - Fax:660-296-0498
Practice Address - Street 1:1301 E HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-3683
Practice Address - Country:US
Practice Address - Phone:660-263-0494
Practice Address - Fax:660-296-0498
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO040771183500000X
COPHA 0011769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist