Provider Demographics
NPI:1770976953
Name:WOODS, LINDA L (RPH)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:WOODS
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 1:1571 SAN ELIJO RD S # RSS
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2044
Mailing Address - Country:US
Mailing Address - Phone:760-798-2824
Mailing Address - Fax:760-798-7941
Practice Address - Street 1:1571 SAN ELIJO RD S # RSS
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2044
Practice Address - Country:US
Practice Address - Phone:760-798-2824
Practice Address - Fax:760-798-7941
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35075183500000X
WY2153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist