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General NPI Number Information
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NPI Number | 1073632972
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Entity Type | Organization
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Legal Business Name | WOODYS PHARMACY INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 408 S BROAD ST STE 2
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City | NEW TAZEWELL
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State | TN
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Zip | 37825-7800
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Country | US
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Telephone | 423-626-3333
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Fax | 423-626-5522
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Provider Business Mailing Address
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Address Line | 408 S BROAD ST STE 2
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City | NEW TAZEWELL
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State | TN
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Zip | 37825-7800
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Country | US
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Telephone | 423-626-3333
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Fax | 423-626-5522
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. JOSEPH J COLLINS
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Credential | PHARMD
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Telephone | 423-626-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000003290
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License Number State | TN
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