Healthcare Provider Details

I. General information

NPI: 1003032004
Provider Name (Legal Business Name): TIMOTHY DONALD WOODWARD PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MOCCASIN BEND RD
CHATTANOOGA TN
37405-4415
US

IV. Provider business mailing address

2211 VIOLETTE DR
SODDY DAISY TN
37379-3571
US

V. Phone/Fax

Practice location:
  • Phone: 423-265-2271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9640
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number9640
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: