Roy Weatherston, RPH

NPI #1952712440 in Rexburg, Idaho

Provider Information

NPI Number: 1952712440
Entity Type: Individual
Name: Roy Weatherston, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 19, 2014
Last Updated: May 19, 2014

Practice Location

Address: 490 N 2ND E
City: Rexburg
State: Idaho
ZIP Code: 83440-1654
Phone: (208) 542-2088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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