Organization
WOOD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WOOD (PRESIDENT)
(219) 253-8050
Entity
Organization
Contact information
Practice address
326 N MARKET, MONON, IN 47959
(219) 253-8050
(219) 253-8283
Mailing address
PO BOX 807, MONON, IN 47959-0807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60004975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100296370A
—
IN
01
—
1533062
OTHER ID NUMBER
—
Enumeration date
06/22/2006
Last updated
07/10/2008
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