Individual
REBECCA DEANE WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 HAWKINS DR., CC105 GH, IOWA CITY, IA 52242
(319) 356-2577
Mailing address
54 HERON CIR, IOWA CITY, IA 52245-4122
(319) 338-5873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
W14545
IA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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