Provider Demographics
NPI:1194804286
Name:WOOD, CHERYL (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7610
Mailing Address - Country:US
Mailing Address - Phone:334-826-8382
Mailing Address - Fax:334-826-8085
Practice Address - Street 1:1617 S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-6638
Practice Address - Country:US
Practice Address - Phone:334-826-8382
Practice Address - Fax:334-826-8085
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0125814OtherNABP
AL0125814OtherNABP
AL556050413502Medicare ID - Type UnspecifiedMEDICARE