Individual
JOSEPH GERARD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7104
(623) 856-6120
Mailing address
16810 W TARA LN, SURPRISE, AZ 85388-1505
(623) 476-2544
(623) 856-6120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006440
VA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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