Provider Demographics
NPI:1245300193
Name:WOOD, WILLIAM HAYES JR (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HAYES
Last Name:WOOD
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-3975
Mailing Address - Country:US
Mailing Address - Phone:334-687-9403
Mailing Address - Fax:
Practice Address - Street 1:1037 S EUFAULA AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-2701
Practice Address - Country:US
Practice Address - Phone:334-687-8781
Practice Address - Fax:334-687-8725
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0127729OtherNABP