Organization
THE WOODLAND INC
Active
Other names
THE WOODLAND INC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEFFERSON RPH (DIRECTOR OF PHCY)
(434) 392-6106
Entity
Organization
Contact information
Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
(434) 315-0120
Mailing address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
(434) 315-0120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0201004200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4840662
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/02/2008
Last updated
01/15/2010
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