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General NPI Number Information
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NPI Number | 1144372145
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Entity Type | Organization
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Legal Business Name | WOODARD DRUGS INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 210 E BROADWAY
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City | GLENWOOD
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State | AR
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Zip | 71943-9243
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Country | US
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Telephone | 870-356-2193
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Fax | 870-356-3145
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Provider Business Mailing Address
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Address Line | PO BOX 1470
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City | GLENWOOD
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State | AR
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Zip | 71943-1470
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Country | US
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Telephone | 870-356-2193
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WAYNE PADGETT
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Credential |
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Telephone | 870-356-2193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR16289
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License Number State | AR
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