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Organization
THE WOODLAND INC
Active
Organization
THE WOODLAND INC
Active
Other names
THE WOODLAND INC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEFFERSON RPH (DIRECTOR OF PHCY)
(434) 392-6106
Entity
Organization
Contact information
Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
(434) 315-0120
Mailing address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
(434) 315-0120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
0201004200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4840662
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/02/2008
Last updated
01/15/2010
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