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Individual

CADEN WEIGL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D

Contact information

Practice address
120 S BISHOP AVE, ROLLA, MO 65401-4215
(573) 426-3338
Mailing address
25205 COUNTY ROAD 431, SAINT JAMES, MO 65559-8902
(573) 205-2197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022034936
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022034936
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
09/01/2022
Last updated
09/01/2022
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