Provider Demographics
NPI:1841544129
Name:WOODARD, TODD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:WOODARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 COTILLION DR APT 2114
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7881
Mailing Address - Country:US
Mailing Address - Phone:678-856-7923
Mailing Address - Fax:
Practice Address - Street 1:1850 COTILLION DR APT 2114
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-7881
Practice Address - Country:US
Practice Address - Phone:678-856-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0233121835G0303X
FLPS412321835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric