Organization
WOODS SUPERMARKET INC
Active
Other names
Woods Pharmacy 2473
Organization subpart
No
Provider details
NPI number
Authorized official
PUSHPESH BHANDARI (DIRECTOR OF PHARMACY OPERATIONS)
(417) 326-7603
Entity
Organization
Contact information
Practice address
1109 SOUTH ST, STOCKTON, MO 65785-9456
(417) 276-3670
(417) 276-3675
Mailing address
PO BOX 880, 703 E. COLLEGE, BOLIVAR, MO 65613-0880
(417) 326-7603
(417) 326-7609
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2009001530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118698
PK
—
05
—
606406809
—
MO
Enumeration date
01/27/2009
Last updated
06/24/2016
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