Individual
NANCY LYNAE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
9011 S. PENNSYLVANIA, OKLAHOMA CITY, OK 73159
(405) 692-1882
Mailing address
1716 COUNTY ROAD 1260, TUTTLE, OK 73089-3704
(405) 381-2061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10061
OK
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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