MEDICARE: ROLAND V WOOD RPH

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
1	183500000X	Pharmacist	07180	NC

General Provider Information

NPI Number	:	1326077850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND V WOOD RPH

Provider Business Mailing Address
First Line	:	1302 N JOHNSON ST
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-6602
Country	:	US
Telephone Number	:	919-207-1446
Fax Number	:	919-207-9032

Provider Business Practice Location Address
First Line	:	1302 N JOHNSON ST
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-6602
Country	:	US
Telephone Number	:	919-207-1446
Fax Number	:	919-207-9032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

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