Provider Demographics
NPI:1871898015
Name:WOOD, MELISSA E (PHARMD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
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 1:1100 DENALI DR
Mailing Address - Street 2:
Mailing Address - City:HURDLE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27541-7439
Mailing Address - Country:US
Mailing Address - Phone:919-732-6649
Mailing Address - Fax:
Practice Address - Street 1:123 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-2431
Practice Address - Country:US
Practice Address - Phone:919-563-1700
Practice Address - Fax:919-563-4233
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist