Roger Wesley Wood

NPI #1316557325 in Lewiston, Idaho

Provider Information

NPI Number: 1316557325
Entity Type: Individual
Name: Roger Wesley Wood
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 274 RESERVOIR DR
City: Lewiston
State: Idaho
ZIP Code: 83501-9637
Phone: (208) 413-3019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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