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Organization
WOODY WEAVER PHARMACY INC
Active
Organization
WOODY WEAVER PHARMACY INC
Active
Other names
WOODY WEAVER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE LYNN WEAVER PHARM D (OWNER)
(903) 593-2533
Entity
Organization
Contact information
Practice address
2726 W GENTRY PKWY, TYLER, TX 75702-1635
(903) 593-2533
(903) 593-2555
Mailing address
2726 W GENTRY PKWY, TYLER, TX 75702-1635
(903) 593-2533
(903) 593-2555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130525
—
TX
01
—
2096287
PK
—
Enumeration date
10/21/2005
Last updated
06/03/2025
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