Sean Wood, PHARMACY TECH
Individual provider Active NPI Pharmacy Technician · Texarkana, TX
NPI 1306301957 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1306301957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 108620 (TX)
- Practice address
- 3002 Moores LN
Texarkana, TX 75503-2204 - Phone
- (430) 200-4350
- Fax
- (833) 491-2722
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108620 | TX | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 108620 | TX | Yes |
Addresses
Primary practice location
3002 Moores LN
Texarkana, TX 75503-2204
Mailing address
3002 Moores LN
Texarkana, TX 75503-2204
Phone (430) 200-4350
Other providers in Texarkana, TX
- Lexius Winfrey
- Kellie Dawn Winn
- Winnie-Stowell Hospital District
- Joseph Sean Womack
- Pui-Sum Susan Wong
- Latisea Woodberry
- Walter W Woodruff
- Lashawn L Woods
- Jeffrey E. Woosley
- Samantha D Wooten
All providers in Texarkana, TX · Pharmacy Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.