Individual
IAN MICHAEL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2166
Mailing address
2500 MAIN AVE N, TILLAMOOK, OR 97141-7784
(503) 815-1433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016736
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016736
OR
Other
Enumeration date
11/16/2018
Last updated
02/04/2020
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