MR. Phillip Duane Weaver, RPH

NPI #1386749158 in Champaign, Illinois

Provider Information

NPI Number: 1386749158
Entity Type: Individual
Name: MR. Phillip Duane Weaver, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2802 VALLEY BROOK DR
City: Champaign
State: Illinois
ZIP Code: 61822-7621
Phone: (217) 356-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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