Individual
KENNETH SCOTT WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
23056 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-1325
(513) 403-3170
Mailing address
23056 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-1325
(513) 403-3170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017803
KY
183500000X
Pharmacist
03334886
OH
183500000X
Pharmacist
Primary
S023277
AZ
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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