Individual
DR. GLENN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
112 HOUSTON AVE, PERRYVILLE, AR 72126-9451
(501) 889-5111
Mailing address
PO BOX 435, PERRYVILLE, AR 72126-0435
(501) 889-5111
(501) 889-2878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10345
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD10345
PHARMACIST LICENSE
AR
Enumeration date
12/31/2020
Last updated
12/31/2020
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