Individual
MR. ALLISTER KEITH WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3302 MARKET ST, WILMINGTON, NC 28403-1320
(910) 772-0686
Mailing address
3302 MARKET ST, WILMINGTON, NC 28403-1320
(910) 772-0686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656308
—
NC
Enumeration date
09/15/2011
Last updated
09/15/2011
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