Individual
LISA ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10001 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2623
(317) 897-6323
Mailing address
11246 TUFTON ST, FISHERS, IN 46038-2262
(317) 431-1160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26018041A
INDIANA RPH LICENSE NUMBER
IN
Enumeration date
12/01/2020
Last updated
12/01/2020
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