Organization
WOODYS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J COLLINS PHARMD (PHARMACIST IN CHARGE)
(423) 626-3333
Entity
Organization
Contact information
Practice address
408 S BROAD ST, STE 2, NEW TAZEWELL, TN 37825-7800
(423) 626-3333
(423) 626-5522
Mailing address
408 S BROAD ST, STE 2, NEW TAZEWELL, TN 37825-7800
(423) 626-3333
(423) 626-5522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000003290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122015001
MEDICARE ID NUMBER
TN
05
—
122015001
—
TN
01
—
4431881
NCPDP NUMBER
TN
Enumeration date
03/29/2007
Last updated
02/20/2013
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