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General NPI Number Information
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NPI Number | 1942148044
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Entity Type | Organization
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Legal Business Name | WOODYS LONGBRANCH PHARMACY INC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 130 LONG BRANCH RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-7132
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Country | US
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Telephone | 706-867-9493
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Fax | 706-867-9495
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | DAHLONEGA
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State | GA
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Zip | 30533-0006
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Country | US
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Telephone | 706-867-9493
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Fax | 706-867-9495
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KEVIN JOSEPH WOODY
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Credential | RPH
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Telephone | 706-867-9493
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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 |
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License Number State |
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