Organization
RYAN WOODY
Active
Other names
Meador Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ALLEN WOODY PHARMD. (OWNER/MANAGER)
(580) 526-3311
Entity
Organization
Contact information
Practice address
215 WEST ROGER MILLER BLVD, ERICK, OK 73645-0000
(580) 526-3311
(580) 526-3275
Mailing address
PO BOX 77, ERICK, OK 73645-0077
(580) 526-3311
(580) 526-3275
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35-5804
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-5804
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
12/08/2011
Last updated
12/08/2011
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