Provider Demographics
NPI:1104098359
Name:WOOD, MEGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 E LOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8233
Mailing Address - Country:US
Mailing Address - Phone:505-521-9841
Mailing Address - Fax:505-521-5907
Practice Address - Street 1:2551 E LOHMAN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8233
Practice Address - Country:US
Practice Address - Phone:505-521-9841
Practice Address - Fax:505-521-5907
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006800183500000X
TX45145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist