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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306890686 NPPES
Other 25883 DPH

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