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Individual

MR. BRIAN A WEIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1011 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1207
(262) 284-3436
Mailing address
1011 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1207
(262) 284-3436

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R9679
WI

Other

Enumeration date
10/19/2012
Last updated
04/25/2013
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