Healthcare Provider Details

I. General information

NPI: 1316873979
Provider Name (Legal Business Name): NEIL ALAN WOOD PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5004 MAGNOLIA ESTATES BLVD
MOUNT JULIET TN
37122-8248
US

IV. Provider business mailing address

5004 MAGNOLIA ESTATES BLVD
MOUNT JULIET TN
37122-8248
US

V. Phone/Fax

Practice location:
  • Phone: 615-480-1850
  • Fax:
Mailing address:
  • Phone: 615-480-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14430
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: