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NPI Code Detail

MEDICARE: JADE WHITNEY WOOD PHARM.D

MEDICARE: JADE WHITNEY WOOD 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
1183500000XPharmacist50566TX

General Provider Information

NPI Number : 1811273824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE WHITNEY WOOD PHARM.D
Provider Business Mailing Address
First Line : 12222 BROOK MEADOWS LN
Second Line :
City : MEADOWS PLACE
State : TX
Zip : 77477-1639
Country : US
Telephone Number : 832-790-9552
Fax Number :
Provider Business Practice Location Address
First Line : 105 WEST RD
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1131
Country : US
Telephone Number : 281-445-1308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2011
Last Update Date : 10/24/2011

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Directions to “ JADE WHITNEY WOOD PHARM.D” Practice Location

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