Individual
MR. MARK WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
601 N MILWAUKEE ST, WATERFORD, WI 53185-4405
(262) 534-9222
(262) 534-9407
Mailing address
601 N MILWAUKEE ST, WATERFORD, WI 53185-4405
(262) 534-9222
(262) 534-9407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14814-40
WI
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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