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Organization

WOODY WEAVER PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WOODROW VERNON WEAVER RPH (OWNER)
(903) 593-2533
Entity
Organization

Contact information

Practice address
2722 WEST GENTRY PARKWAY, TYLER, TX 75702
(903) 593-2533
(903) 593-2555
Mailing address
2722 WEST GENTRY PARKWAY, TYLER, TX 75702
(903) 593-2533
(903) 593-2555

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130525
TX
01
4532936
NABP
Enumeration date
12/05/2006
Last updated
03/07/2023
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