Individual ProviderJonathan D WoodwardPharmacistPharmacy Service ProvidersPractice Address8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307(505) 348-0066PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan D Woodward does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1790939957Provider TypeIndividualFull NameWoodward, Jonathan DGenderMaleSole ProprietorNoEnumeration Date11/13/2008Last Updated8/6/2013Contact InformationPractice LocationPractice Address8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307Phone(505) 348-0066Fax(505) 348-8445Mailing LocationMailing Address8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307Phone(505) 348-0066Fax(505) 348-8445Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007660New Mexico