Tara Weaver

NPI #1699066324 in Grand Ledge, Michigan

Provider Information

NPI Number: 1699066324
Entity Type: Individual
Name: Tara Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 28, 2011
Last Updated: Apr 28, 2011

Practice Location

Address: 715 S CLINTON ST
City: Grand Ledge
State: Michigan
ZIP Code: 48837-2291
Phone: (517) 627-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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