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NPI Code Detail

MEDICARE: DR. MEGAN WOOD PHARMD

MEDICARE: DR. MEGAN WOOD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00006800NM
2183500000XPharmacist45145TX

General Provider Information

NPI Number : 1104098359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN WOOD PHARMD
Provider Business Mailing Address
First Line : 2551 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8233
Country : US
Telephone Number : 505-521-9841
Fax Number : 505-521-5907
Provider Business Practice Location Address
First Line : 2551 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8233
Country : US
Telephone Number : 505-521-9841
Fax Number : 505-521-5907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2008
Last Update Date : 03/27/2008

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