Individual
JOHN THOMAS WEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4303 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 655-0720
Mailing address
4303 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 655-0720
(859) 655-0748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010120
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010120
STATE OF KENTUCKY
KY
Enumeration date
10/19/2020
Last updated
10/19/2020
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