MEDICARE: TREY WOODWARD PHARMD

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
1	183500000X	Pharmacist	025173	KY

General Provider Information

NPI Number	:	1063376267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREY WOODWARD PHARMD

Provider Business Mailing Address
First Line	:	7702 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3207
Country	:	US
Telephone Number	:	502-928-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7702 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3207
Country	:	US
Telephone Number	:	502-928-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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