Individual
GRETCHEN ILER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2150 W BROAD ST, COLUMBUS, OH 43223-1257
(614) 752-0133
Mailing address
2708 WELSFORD RD, COLUMBUS, OH 43221-3323
(614) 488-3852
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
03112227
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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