Doctor Name: | MR. CURTIS A WOOD |
NPI Number: | 1124167598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.PH., CGP, FASCAP |
License Number: | 042931 |
Business Practice Address: | 3651 W Industrial Dr Louisiana, MO - 633533868 |
Business Phone Number: | 8008181632 |
Business Fax Number: | |
Mailing Address: | 17566 Doe Run Rd, NEW LONDON |
State: | MO |
Postal Code: | 634594410 |
Phone Number: | 5739853403 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 042931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |