Provider Demographics
NPI:1245491950
Name:WOOD, CASSANDRA LEIGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:LEIGH
Last Name:WOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 JOHN MARSHALL HWY
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-4577
Mailing Address - Country:US
Mailing Address - Phone:540-631-0332
Mailing Address - Fax:
Practice Address - Street 1:800 JOHN MARSHALL HWY
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4577
Practice Address - Country:US
Practice Address - Phone:540-631-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist