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DR. GLENN WOOD PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1952998361

Individual Registrant:
DR. GLENN  WOOD PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
112 HOUSTON AVE  PERRYVILLE, AR 72126-9451 US
Tel: 501-889-5111  Fax: --

Contact information for business:
PO BOX 435  PERRYVILLE, AR 72126-0435 US
Tel: 501-889-5111  Fax: 501-889-2878

Registration Information:
NPI: 1952998361
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD10345

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHARMACIST LICENSEPD10345AR01




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