Provider Demographics
NPI:1255548541
Name:WOODARD, JOHN VERNON JR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:VERNON
Last Name:WOODARD
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-3427
Mailing Address - Country:US
Mailing Address - Phone:919-942-8623
Mailing Address - Fax:919-967-0185
Practice Address - Street 1:159 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3620
Practice Address - Country:US
Practice Address - Phone:919-942-5161
Practice Address - Fax:919-967-0185
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist