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General NPI Number Information
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NPI Number | 1295867091
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Entity Type | Organization
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Legal Business Name | WOODWARD RESOURCE CENTER PHARMACY
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1251 334TH ST
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City | WOODWARD
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State | IA
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Zip | 50276-7509
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Country | US
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Telephone | 515-438-3121
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Fax | 515-438-3122
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Provider Business Mailing Address
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Address Line | 1251 334TH ST
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City | WOODWARD
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State | IA
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Zip | 50276-7509
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Country | US
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Telephone | 515-438-3121
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Fax | 515-438-3122
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | CLINT REYNOLDS
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Credential |
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Telephone | 515-438-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 944
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License Number State | IA
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