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NPI Code Detail

MEDICARE: LISA WOODS RPH

MEDICARE: LISA WOODS RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist46677CA

General Provider Information

NPI Number : 1053628669
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA WOODS RPH
Provider Business Mailing Address
First Line : 8368 ELK GROVE FLORIN RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95829-9228
Country : US
Telephone Number : 916-236-5690
Fax Number :
Provider Business Practice Location Address
First Line : 8368 ELK GROVE FLORIN RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95829-9228
Country : US
Telephone Number : 916-236-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2010
Last Update Date : 09/02/2010

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