Individual
JACQUELINE KIMBELL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1208 HOMER RD, MINDEN, LA 71055-3082
(318) 371-1292
Mailing address
300 MICHAEL TRL, MINDEN, LA 71055-7631
(318) 553-7136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15301
LA
Other
Enumeration date
08/26/2012
Last updated
04/05/2026
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