Healthcare Provider Details

I. General information

NPI: 1922163344
Provider Name (Legal Business Name): WOOD FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2748 PELHAM PKWY
PELHAM AL
35124-1702
US

IV. Provider business mailing address

2748 PELHAM PKWY
PELHAM AL
35124-1702
US

V. Phone/Fax

Practice location:
  • Phone: 205-664-0644
  • Fax: 205-664-2096
Mailing address:
  • Phone: 205-664-0644
  • Fax: 205-664-2096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number111927
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NICK WOOD
Title or Position: PRESIDENT
Credential: RPH
Phone: 205-664-0664