# WOODY WEAVER PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODY WEAVER PHARMACY, INC.
- **Other names:** Weaver Home Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497902381
- **Legal business name:** WOODY WEAVER PHARMACY, INC.
- **Authorized official:** COTY C CARNES (OWNER)
- **Authorized official phone:** (903) 597-4363

## Contact information

- **Practice address:** 506 E RUSK ST, 101, JACKSONVILLE, TX 75766-4992
- **Practice address phone:** (903) 597-4363
- **Practice address fax:** (903) 526-7617
- **Mailing address:** PO BOX 130008, TYLER, TX 75713-0008
- **Mailing address phone:** (903) 597-4363
- **Mailing address fax:** (903) 526-7617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0092940 | TX | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008