MEDICARE: KIMBERLY RAGSDALE WOODS 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
1	183500000X	Pharmacist	15065	AL

General Provider Information

NPI Number	:	1811176027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY RAGSDALE WOODS PHARM.D.

Provider Business Mailing Address
First Line	:	152 TWIN LAKES RD
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-2718
Country	:	US
Telephone Number	:	205-612-1825
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 MAIN ST
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-1418
Country	:	US
Telephone Number	:	205-661-1110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	10/24/2007

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Directions to “ KIMBERLY RAGSDALE WOODS PHARM.D.” Practice Location

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