Organization · Type 2 NPI

Gerald R Woodard Do PA

Non-Pharmacy Dispensing Site · Daytona Beach Shores, FL

NPI number 1497166417 Active

Practice location

3512 S Atlantic Ave
Daytona Beach Shores, FL 32118-7639

Call (386) 767-9544 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XOS4717 (FL)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

10 other providers at this address

About NPI 1497166417

Gerald R Woodard Do PA's National Provider Identifier is 1497166417, issued on May 13, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Daytona Beach Shores, FL. The record was last updated on May 13, 2014.