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NPI Code Detail

MEDICARE: LISA R WOOD PHARM. D

MEDICARE: LISA R WOOD PHARM. D
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
1183500000XPharmacistPH00067965WA
2183500000XPharmacist14167AZ

General Provider Information

NPI Number : 1194054080
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA R WOOD PHARM. D
Provider Business Mailing Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number : 425-822-9202
Fax Number : 425-822-9407
Provider Business Practice Location Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number : 425-822-9202
Fax Number : 425-822-9407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2009
Last Update Date : 12/23/2009

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Directions to “ LISA R WOOD PHARM. D” Practice Location

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