Organization
WOODMARK PHARMACY
Active
Other names
WOODMARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STACY JOHNSON (SUPERVISING PHARMACIST)
(716) 631-3381
Entity
Organization
Contact information
Practice address
1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748
(716) 631-3381
(716) 631-3097
Mailing address
1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748
(716) 631-3381
(716) 631-3097
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
031869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572590
—
NY
01
—
2063513
PK
—
Enumeration date
08/10/2006
Last updated
12/06/2013
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