# WEAVERS ROCKY FACE PHARMACY GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEAVERS ROCKY FACE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942798012
- **Authorized official:** PAUL P BRYANT RPH (CFO)
- **Authorized official phone:** (706) 260-7998

## Contact information

- **Practice address:** 2600 OLD CHATTANOOGA RD, ROCKY FACE, GA 30740-8511
- **Practice address phone:** (706) 259-0668
- **Practice address fax:** (706) 259-1890
- **Mailing address:** 630 TI PI LN, CHATSWORTH, GA 30705-7786
- **Mailing address phone:** (706) 259-0668
- **Mailing address fax:** (706) 971-3893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010622 | GA | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 11/01/2018