Organization
WOODY WEAVER PHARMACY, INC.
Active
Parent organization
WOODY WEAVER PHARMACY, INC.
Other names
Weaver Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODY WEAVER PHARMACY, INC.
Authorized official
COTY C CARNES (OWNER)
(903) 597-4363
Entity
Organization
Contact information
Practice address
506 E RUSK ST, 101, JACKSONVILLE, TX 75766-4992
(903) 597-4363
(903) 526-7617
Mailing address
PO BOX 130008, TYLER, TX 75713-0008
(903) 597-4363
(903) 526-7617
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0092940
TX
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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