Kenneth Weaver, PHARM.D

NPI #1164974218 in Carolina Beach, North Carolina

Provider Information

NPI Number
1164974218
Entity Type
Individual
Name
Kenneth Weaver, PHARM.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARM.D
Enumeration Date
Oct 25, 2016
Last Updated
Oct 25, 2016

Practice Location

Address
1361 LAKE PARK BLVD N
ZIP Code
28428-3946
Phone
(910) 458-4172

Specialties & Taxonomy Codes

Specialty
Pharmacist

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