Mary Jo Weidenbaum
NPI #1639775240 in Brodheadsville, Pennsylvania
Provider Information
- NPI Number
- 1639775240
- Entity Type
- Individual
- Name
- Mary Jo Weidenbaum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Dec 9, 2020
Practice Location
- Address
- CVS PHARMACY
- Address 2
- RT 209 AND 115
- City
- Brodheadsville
- State
- Pennsylvania
- ZIP Code
- 18322
- Phone
- (570) 992-6454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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