Randolph J Weaver

NPI #1104282318 in Bath, New York

Provider Information

NPI Number
1104282318
Entity Type
Organization
Organization Name
Randolph J Weaver
Primary Specialty
Pharmacy
Enumeration Date
Jan 5, 2016
Last Updated
Jan 25, 2016

Practice Location

Address
7181 STATE ROUTE 54
City
Bath
ZIP Code
14810-9502
Phone
(607) 664-9039

Authorized Official

Name
RANDOLPH WEAVER
Title
OWNER/RPH
Phone
(607) 664-9039

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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