Individual
MRS. BRIDGETTE L. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
22 ORCHARD ST, PIEDMONT, WV 26750-1036
(304) 355-2700
(304) 355-8800
Mailing address
1350 CORNELL ST, KEYSER, WV 26726-2107
(304) 788-0453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14084
MD
183500000X
Pharmacist
Primary
RP0005521
WV
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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