PHILLIP DUANE WEAVER

CHAMPAIGN, IL
NPI1386749158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051033329)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. PHILLIP DUANE WEAVER RPH
2802 VALLEY BROOK DR
CHAMPAIGN, IL 61822-7621
Phone number: 217-356-3211
Mailing Address
Mr. PHILLIP DUANE WEAVER RPH
2802 VALLEY BROOK DR
CHAMPAIGN, IL 61822-7621
Phone number: