Healthcare Provider Details

I. General information

NPI: 1093631087
Provider Name (Legal Business Name): ADAM WOODSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

1433 LINDA VISTA LN
VESTAVIA AL
35226-3521
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-3300
  • Fax:
Mailing address:
  • Phone: 205-996-3300
  • Fax: 833-740-3431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17377
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: