Organization
WEAVER PHARMACY INC
Active
Other names
WEAVERS CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD ALHADDAD RPH (PHARM)
(239) 995-2700
Entity
Organization
Contact information
Practice address
1866 N TAMIAMI TRL, NORTH FORT MYERS, FL 33903-3366
(239) 995-2700
(239) 995-2707
Mailing address
1866 N TAMIAMI TRL, NORTH FORT MYERS, FL 33903-3366
(239) 995-2700
(239) 995-2707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20021
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026680900
—
FL
01
—
1004162
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2007
Last updated
01/19/2010
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