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NPI Code Detail

MEDICARE: DR. ELIJAH PAUL WOODS RPH, PHARM.D.

MEDICARE: DR. ELIJAH PAUL WOODS RPH, 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
1183500000XPharmacistS014368AZ

General Provider Information

NPI Number : 1962733857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIJAH PAUL WOODS RPH, PHARM.D.
Provider Business Mailing Address
First Line : 2737 E MCKELLIPS RD
Second Line :
City : MESA
State : AZ
Zip : 85213-3016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2737 E MCKELLIPS RD
Second Line :
City : MESA
State : AZ
Zip : 85213-3016
Country : US
Telephone Number : 480-835-0970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2010
Last Update Date : 01/17/2010

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