Healthcare Provider Details

I. General information

NPI: 1386706844
Provider Name (Legal Business Name): WOODMARK SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 WEHRLE DR SUITE 3
WILLIAMSVILLE NY
14221-7748
US

IV. Provider business mailing address

7 LIMESTONE DR
WILLIAMSVILLE NY
14221-7051
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-3381
  • Fax: 716-631-8734
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK LUDWIG
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 716-631-3381