Individual
TRACY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8820 US HIGHWAY 42, FLORENCE, KY 41042-8851
(859) 488-0884
Mailing address
8820 US HIGHWAY 42, FLORENCE, KY 41042-8851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012293
KY
183500000X
Pharmacist
03-1-27827
OH
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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