MEDICARE: DR. STEVE GLENN 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
1	183500000X	Pharmacist	16500	AL

General Provider Information

NPI Number	:	1801103478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE GLENN WOOD PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 5694
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-0694
Country	:	US
Telephone Number	:	256-340-3700
Fax Number	:	256-340-3730

Provider Business Practice Location Address
First Line	:	3220 HIGHWAY 31 S
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35603-1731
Country	:	US
Telephone Number	:	256-340-3700
Fax Number	:	256-340-3730

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

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	04/09/2012

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Directions to “ DR. STEVE GLENN WOOD PHARMD” Practice Location

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