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General NPI Number Information
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NPI Number | 1932910437
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Entity Type | Organization
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Legal Business Name | WOODLANDS PHARMACY MANAGEMENT
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 7197 SHERIDAN RD STE 109
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City | WHITE HALL
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State | AR
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Zip | 71602-3261
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Country | US
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Telephone | 870-247-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 7197 SHERIDAN RD STE 109
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City | WHITE HALL
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State | AR
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Zip | 71602-3261
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Country | US
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Telephone | 870-247-3900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN WILSON
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Credential | PHARMD.
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Telephone | 870-247-3900
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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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