Organization
RANDOLPH J WEAVER
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH WEAVER (OWNER/RPH)
(607) 664-9039
Entity
Organization
Contact information
Practice address
7181 STATE ROUTE 54, BATH, NY 14810-9502
(607) 664-9039
Mailing address
7181 STATE ROUTE 54, BATH, NY 14810
(607) 664-9039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034106
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157398
PK
—
Enumeration date
01/05/2016
Last updated
01/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us