Individual
FRED WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MARKET DR, ELYRIA, OH 44035-2887
(440) 324-1742
(440) 324-1794
Mailing address
320 MARKET DR, ELYRIA, OH 44035-2887
(440) 324-1742
(440) 324-1794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03217896
OH
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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