MEDICARE: MARY ELIZABETH 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	12953	SC

General Provider Information

NPI Number	:	1932480951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH WOOD PHARMD

Provider Business Mailing Address
First Line	:	1101 HIGHWAY 9 BYP W
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-1710
Country	:	US
Telephone Number	:	803-289-1223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 HIGHWAY 9 BYP W
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-1710
Country	:	US
Telephone Number	:	803-289-1223
Fax Number	:

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

Provider Enumeration Date	:	09/03/2011
Last Update Date	:	09/03/2011

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