Individual
GENNIFER MICHELE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1583 E COUNTY LINE RD, JACKSON, MS 39211
(601) 952-2979
Mailing address
1583 E COUNTY LINE RD, JACKSON, MS 39211
(601) 952-2979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100458
MS
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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