Organization
CCC MEDICAL INC
Active
Other names
Woodward's Express Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEYWARD WOODWARD R.PH. (PRESIDENT)
(770) 483-6811
Entity
Organization
Contact information
Practice address
2280 SALEM RD SE, SUITE 103, CONYERS, GA 30013-2003
(770) 483-6811
(770) 483-1776
Mailing address
2280 SALEM RD SE, SUITE 103, CONYERS, GA 30013-2003
(770) 483-6811
(770) 483-1776
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
005339
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112516A
—
GA
05
—
00112516B
—
GA
01
—
1108338
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up