Organization
WOODARD DRUGS INC
Active
Other names
WOODARD DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE PADGETT (PRESIDENT)
(870) 356-2193
Entity
Organization
Contact information
Practice address
210 E BROADWAY, GLENWOOD, AR 71943-9243
(870) 356-2193
(870) 356-3145
Mailing address
PO BOX 1470, GLENWOOD, AR 71943-1470
(870) 356-2193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR16289
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0416289
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
116069407
—
AR
05
—
117433716
—
AR
Enumeration date
01/18/2007
Last updated
07/14/2011
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