Fred Weaver

NPI #1801558630 in Elyria, Ohio

Provider Information

NPI Number: 1801558630
Entity Type: Individual
Name: Fred Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 8, 2021
Last Updated: Oct 8, 2021

Practice Location

Address: 320 MARKET DR
City: Elyria
State: Ohio
ZIP Code: 44035-2887
Phone: (440) 324-1742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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