Provider Demographics
NPI:1487944591
Name:WOODS, BRANDI (PHARMD)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:WOODS
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 1:29 MILLERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLQUITT
Mailing Address - State:GA
Mailing Address - Zip Code:39837-4804
Mailing Address - Country:US
Mailing Address - Phone:229-220-4091
Mailing Address - Fax:
Practice Address - Street 1:211 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COLQUITT
Practice Address - State:GA
Practice Address - Zip Code:39837-3403
Practice Address - Country:US
Practice Address - Phone:229-758-3168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025214183500000X
FLPS43328183500000X
ALP16050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist