NPI | 1033109053 |
---|---|
Doing Business As | WOODY WEAVER PHARMACY |
Entity Type | Organization |
Authorized Contact | JACKIE WEAVER Owner 903-593-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 1947) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-10-21 |
Last Update Date | 2023-11-15 |