Wood, Bryan Richard
Wood, Bryan Richard is an individual health care provider with primary practice located at 150 S Huntington Ave , Jamaica Plain MA 02130-4817. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Wood, Bryan Richard can be contacted via phone (857) 203-5213.Contact Information
Primary practice address
150 S Huntington Ave
Jamaica Plain MA 02130-4817
Phone: (857) 203-5213
Fax: (857) 203-5780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 25883 | Massachusetts |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 25883 | Massachusetts |
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 25883 | Massachusetts |
Profile Details
| NPI number | 1306890686 |
|---|---|
| LBN Legal business name | Wood, Bryan Richard |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Apr 18th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306890686 | NPPES |
| Other | 25883 | DPH |
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