MEDICARE: DESTINEE WOODS

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	026050	LA

General Provider Information

NPI Number	:	1609730852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINEE WOODS

Provider Business Mailing Address
First Line	:	114 CATAHOULA ST
Second Line	:
City	:	JONESVILLE
State	:	LA
Zip	:	71343-2755
Country	:	US
Telephone Number	:	318-535-7221
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 MOUND ST
Second Line	:
City	:	JONESVILLE
State	:	LA
Zip	:	71343-2319
Country	:	US
Telephone Number	:	318-339-7913
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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Directions to “ DESTINEE WOODS ” Practice Location

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