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General NPI Number Information
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NPI Number | 1871675660
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Entity Type | Organization
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Legal Business Name | WOODARDS PHARMACY
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 101 N CHURCH ST
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City | HERTFORD
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State | NC
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Zip | 27944-1103
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Country | US
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Telephone | 252-426-5527
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Fax | 252-426-1856
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | HERTFORD
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State | NC
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Zip | 27944-0157
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Country | US
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Telephone | 252-426-5527
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Fax | 252-426-1856
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES WOODARD
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Credential | RPH
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Telephone | 252-426-5527
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02822
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License Number State | NC
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