Individual
MR. WESTON ROSS WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6123
(435) 722-6178
Mailing address
RR 4 BOX 4111, ROOSEVELT, UT 84066-9808
(435) 722-9959
(435) 722-6178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
350274-1701
UT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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