Kelly Weaver

NPI #1528684750 in Seagoville, Texas

Provider Information

NPI Number: 1528684750
Entity Type: Individual
Name: Kelly Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 23, 2020
Last Updated: Jun 23, 2020

Practice Location

Address: 125 HALL RD
City: Seagoville
State: Texas
ZIP Code: 75159-2915
Phone: (972) 287-1680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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