Individual
LOGAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(901) 917-1492
Mailing address
2434 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(901) 917-1492
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12342981-1701
UT
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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