MR. Jimmy Weaver, RPH

NPI #1871680652 in Boise City, Oklahoma

Provider Information

NPI Number: 1871680652
Entity Type: Individual
Name: MR. Jimmy Weaver, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 5, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 318 WEST MAIN STREET
Address 2: BOX 1208
City: Boise City
State: Oklahoma
ZIP Code: 73933-1208
Phone: (580) 544-3441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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