Healthcare Provider Details

I. General information

NPI: 1831838176
Provider Name (Legal Business Name): WOODWARD PHARMACY MANAGEMENT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 OKLAHOMA AVE
WOODWARD OK
73801-4456
US

IV. Provider business mailing address

1425 OKLAHOMA AVE
WOODWARD OK
73801-4456
US

V. Phone/Fax

Practice location:
  • Phone: 580-254-3504
  • Fax: 580-256-6359
Mailing address:
  • Phone: 580-254-3504
  • Fax: 580-256-6359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY S HUENERGARDT
Title or Position: OWNER/CEO
Credential: DPH
Phone: 580-254-3504