Healthcare Provider Details

I. General information

NPI: 1831372655
Provider Name (Legal Business Name): JINA WOODARD ALMOND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2007
Last Update Date: 12/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CHURCH ST N CMC-NE INPATIENT PHARMACY
CONCORD NC
28025-2927
US

IV. Provider business mailing address

135 J BROWN RD
SALISBURY NC
28146-7734
US

V. Phone/Fax

Practice location:
  • Phone: 704-783-2566
  • Fax: 704-783-2555
Mailing address:
  • Phone: 704-855-1434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13174
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number13174
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: