Provider Demographics
NPI:1427467406
Name:WOODS, CHARLES BRANDON (PHARMD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:BRANDON
Last Name:WOODS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 AVIATION PKWY STE 900
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6662
Mailing Address - Country:US
Mailing Address - Phone:919-460-3967
Mailing Address - Fax:
Practice Address - Street 1:116 W DEPOT ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6696
Practice Address - Country:US
Practice Address - Phone:919-639-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist