Dale R Weaver

NPI #1225321649 in Conneaut Lake, Pennsylvania

Provider Information

NPI Number: 1225321649
Entity Type: Individual
Name: Dale R Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 100 SOUTH THIRD ST.
City: Conneaut Lake
State: Pennsylvania
ZIP Code: 16316-1108
Phone: (814) 382-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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