Individual
MRS. KAY LYNN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 INDIAN RIDGE BLVD, MISHAWAKA, IN 46545-9034
(574) 243-9707
Mailing address
1022 LONGHORN DR, MISHAWAKA, IN 46544-6714
(574) 339-6356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018838A
IN
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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