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Individual
NICHOLAS WEAVER
Active
Individual
NICHOLAS WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6099454-1701
UT
1835P0200X
Pediatric Pharmacist
6099454-1701
UT
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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