Individual
WADE ALAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 E MAIN ST, BOONEVILLE, AR 72927-4921
(479) 675-3900
(479) 675-5909
Mailing address
1531 E MAIN ST, BOONEVILLE, AR 72927-4921
(479) 675-3900
(479) 675-5909
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PD15764
AR
Other
Enumeration date
04/27/2022
Last updated
05/12/2022
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