Individual
MS. SARAH NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 FAIRGROUNDS RD NE, SALEM, OR 97301-0641
(503) 428-5107
(503) 428-5113
Mailing address
2150 FAIRGROUNDS RD NE, SALEM, OR 97301-0641
(503) 428-5107
(503) 428-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0010434
OR
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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