Healthcare Provider Details

I. General information

NPI: 1548394794
Provider Name (Legal Business Name): WILLIAM W. WOOD R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 12/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 S STATE ST SOUTH WING
MIDVALE UT
84047-2013
US

IV. Provider business mailing address

1078 TITHING VIEW CT
RIVERTON UT
84065-7006
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-9600
  • Fax: 801-213-9620
Mailing address:
  • Phone: 801-446-3687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number322212-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: