NPI | 1780685099 |
---|---|
Doing Business As | WOODARD DRUG STORE |
Entity Type | Organization |
Authorized Contact | EARL WAYNE PADGETT President 870-356-2193 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 67913) |
Additional Taxonomies | 333600000X Pharmacy (Licence: AR 67913) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2025-09-11 |