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General NPI Number Information
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NPI Number | 1780685099
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Entity Type | Organization
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Legal Business Name | WOODARD DRUG INC.
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/11/2025
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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 210 E. BROADWAY
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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 | 870-356-3145
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EARL WAYNE PADGETT
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Credential | P.D.
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 67913
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 67913
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License Number State | AR
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