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NPI Code Detail

MEDICARE: STACY A WOODS RPH

MEDICARE: STACY A WOODS RPH
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
1183500000XPharmacist03-1-22307OH

General Provider Information

NPI Number : 1740291079
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY A WOODS RPH
Provider Business Mailing Address
First Line : 17406 ROYALTON RD
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44136-5151
Country : US
Telephone Number : 440-572-1002
Fax Number :
Provider Business Practice Location Address
First Line : 17406 ROYALTON RD
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44136-5151
Country : US
Telephone Number : 440-572-1002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/16/2007

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Directions to “ STACY A WOODS RPH” Practice Location

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