Mark Wood RPH

NPI 1083004469 - Pharmacist - 183500000X

NPI Details
NPI 1083004469
Gender Male
Enumeration Date 01/23/2015
Last Updated 01/23/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
601 N MILWAUKEE ST
WATERFORD WI, 53185-4405, US
Phone (262) 534-9222
Fax (262) 534-9407
Business Location
601 N MILWAUKEE ST
WATERFORD WI, 53185-4405, US
Phone (262) 534-9222
Fax (262) 534-9407
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 14814-40
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According to our database, Mr. Mark Wood RPH NPI is 1083004469, taxonomy code is 183500000X and license number is 14814-40, license state is located at Wisconsin. Mark Wood RPH physically located at 601 N Milwaukee St, Waterford WI, 53185-4405. NPI Number Mark Wood RPH has the Individual type.

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1083004469 NPI number is provided on an as is basis without warranty of any kind. 1083004469 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Wood RPH are for informational purposes only.