Individual
KATHRYN WEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7890-B RICHMOND-TAPPAHANNOCK HWY, AYLETT, VA 23009-0029
(804) 769-3885
(804) 769-4413
Mailing address
PO BOX 29, 7890-B RICHMOND-TAPPAHANNOCK HWY, AYLETT, VA 23009-0029
(804) 769-3885
(804) 769-4413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202207978
VA STATE LICENSE
VA
Enumeration date
10/18/2012
Last updated
10/18/2012
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