Individual
RICHARD MARK WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT-ADV
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
221505000132555
NC
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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