MEDICARE: WOODSTOCK DRUG INC

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	110245	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0122351	OTHER		NABP

General Provider Information

NPI Number	:	1336135367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODSTOCK DRUG INC

Provider Business Mailing Address
First Line	:	PO BOX 280
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188-0280
Country	:	US
Telephone Number	:	205-938-9221
Fax Number	:	205-938-9290

Provider Business Practice Location Address
First Line	:	28891 HIGHWAY 5
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188-3614
Country	:	US
Telephone Number	:	205-938-9221
Fax Number	:	205-938-9290

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID F ROOKER
Credential	:	RPH
Telephone Number	:	205-938-9221

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/22/2020

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Directions to “WOODSTOCK DRUG INC ” Practice Location

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