Healthcare Provider Details

I. General information

NPI: 1376400838
Provider Name (Legal Business Name): JULIA WOODS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W WOODROW WILSON AVE
JACKSON MS
39213-7681
US

IV. Provider business mailing address

2500 N STATE ST
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 601-496-9022
  • Fax:
Mailing address:
  • Phone: 601-496-9022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberE-09943
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: