MEDICARE: WOODS PHARMACY 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	SP0550956	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2110023	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568512887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS PHARMACY INC

Provider Business Mailing Address
First Line	:	400 VIRGINIA ST
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-2009
Country	:	US
Telephone Number	:	304-469-2923
Fax Number	:	304-469-2984

Provider Business Practice Location Address
First Line	:	400 VIRGINIA ST
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-2009
Country	:	US
Telephone Number	:	304-469-2923
Fax Number	:	304-469-2984

Authorized Official
Title or Position	:	PRESIDENT PHCST
Name	:	SUSAN WOODS
Credential	:	RPH
Telephone Number	:	304-469-2923

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/25/2013

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Directions to “WOODS PHARMACY INC ” Practice Location

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