Healthcare Provider Details

I. General information

NPI: 1356937486
Provider Name (Legal Business Name): HEIDI LEANN WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2020
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N GEORGE ST
YORK PA
17404-1807
US

IV. Provider business mailing address

1700 N GEORGE ST
YORK PA
17404-1807
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-6212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: