Healthcare Provider Details

I. General information

NPI: 1154057107
Provider Name (Legal Business Name): ALEXANDER NEIL WOODCOCK PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2022
Last Update Date: 07/30/2022
Certification Date: 07/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 TONGASS DR
SITKA AK
99835-9416
US

IV. Provider business mailing address

222 TONGASS DR
SITKA AK
99835-9416
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-8347
  • Fax: 907-966-8450
Mailing address:
  • Phone: 907-966-8347
  • Fax: 907-966-8450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28829
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: