Individual
MISS KATHERINE TENNEY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19 PUBLIC SQ, STOCKTON, MO 65785-7617
(417) 276-3128
(417) 276-4194
Mailing address
PO BOX 796, 307 EAST OAK ST, STOCKTON, MO 65785
(620) 757-8018
(417) 276-4194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-100197
KS
183500000X
Pharmacist
Primary
2016021936
MO
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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