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Individual

DR. SUSAN MARIE WEAKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
521 LONE OAK RD, PADUCAH, KY 42003-4543
(270) 442-6659
(270) 442-8982
Mailing address
4360 CONTEST RD, PADUCAH, KY 42001-8846
(270) 655-6151
(270) 655-6301

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012002
KY
183500000X
Pharmacist
IL

Other

Enumeration date
07/31/2006
Last updated
07/26/2007
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