Healthcare Provider Details

I. General information

NPI: 1871806802
Provider Name (Legal Business Name): BARBARA JOAN WOOD RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 07/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROSEDALE RD
SILVER CITY NM
88061-8742
US

IV. Provider business mailing address

100 ROSEDALE RD
SILVER CITY NM
88061-8742
US

V. Phone/Fax

Practice location:
  • Phone: 575-534-0053
  • Fax: 575-534-9684
Mailing address:
  • Phone: 575-534-0053
  • Fax: 575-534-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4124
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6395
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: