MEDICARE: WOODLANDS PHARMACY MANAGEMENT

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

General Provider Information

NPI Number	:	1932910437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS PHARMACY MANAGEMENT

Provider Business Mailing Address
First Line	:	7197 SHERIDAN RD STE 109
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-3261
Country	:	US
Telephone Number	:	870-247-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	7197 SHERIDAN RD STE 109
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-3261
Country	:	US
Telephone Number	:	870-247-3900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEGAN WILSON
Credential	:	PHARMD.
Telephone Number	:	870-247-3900

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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