| Organization Name: | WOODLAWN PHARMACY |
| NPI Number: | 1619043056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE R KRAFT (RPH, OWNER) |
| Mailing Address: | 101 N Woodlawn Ave Lake City |
| State: | IA US |
| Postal Code: | 514491723 |
| Phone Number: | 7124648811 |
| Fax Number: | 7124648614 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 0176280001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |