# WOODWARD RESOURCE CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODWARD RESOURCE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295867091
- **Legal business name:** WOODWARD RESOURCE CENTER
- **Authorized official:** CLINT REYNOLDS (BUSINESS MANAGER)
- **Authorized official phone:** (515) 438-3622

## Contact information

- **Practice address:** 1251 334TH ST, WOODWARD, IA 50276-7509
- **Practice address phone:** (515) 438-3121
- **Practice address fax:** (515) 438-3122
- **Mailing address:** 1251 334TH ST, WOODWARD, IA 50276-7509
- **Mailing address phone:** (515) 438-3121
- **Mailing address fax:** (515) 438-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 944 | IA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0880088 | — | IA |
| 01 | — | 1932563 | NCPDP\# | IA |