Healthcare Provider Details

I. General information

NPI: 1780685099
Provider Name (Legal Business Name): WOODARD DRUG INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E BROADWAY
GLENWOOD AR
71943-9243
US

IV. Provider business mailing address

PO BOX 1470 210 E. BROADWAY
GLENWOOD AR
71943-1470
US

V. Phone/Fax

Practice location:
  • Phone: 870-356-2193
  • Fax: 870-356-3145
Mailing address:
  • Phone: 870-356-2193
  • Fax: 870-356-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number67913
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number67913
License Number StateAR

VIII. Authorized Official

Name: DR. EARL WAYNE PADGETT
Title or Position: PRESIDENT
Credential: P.D.
Phone: 870-356-2193