Gerald R Woodard Do Pa
Non-pharmacy Dispensing Site
3512 S Atlantic Ave, Daytona Beach Shores
Florida, 32118-7639
386-767-9544 Gerald R Woodard Do Pa is a Non-pharmacy Dispensing Site in Daytona Beach Shores, Florida. This organization is also known as sub part of Medvantx, Inc,. It is located at 3512 S Atlantic Ave, Daytona Beach Shores and it's customer support contact number is 386-767-9544. The authorized person of Gerald R Woodard Do Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Gerald R Woodard Do Pa is OS4717 for Non-pharmacy Dispensing Site in Florida.
Gerald R Woodard Do Pa is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Gerald R Woodard Do Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Gerald R Woodard Do Pa |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 3512 S Atlantic Ave, Daytona Beach Shores,
Florida, 32118-7639 |
| Phone: | 386-767-9544 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1497166417 |
| Parent Organization: | Medvantx, Inc, |
| NPI Enumeration Date: | 13 May, 2014 |
| NPI Last Update On: | 13 May, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerald R Woodard Do Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | OS4717 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Gerald R Woodard Do Pa at
3512 S Atlantic Ave, Daytona Beach Shores, Florida or can
call on customer care at 386-767-9544.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.