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Individual

DR. JOHNATHEN WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
450 N NELLIS BLVD, LAS VEGAS, NV 89110-5304
(702) 452-0224
Mailing address
1005 WIGWAM PKWY APT 1206, HENDERSON, NV 89074-8248

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20551
NV

Other

Enumeration date
07/10/2020
Last updated
07/10/2020
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