Individual
ALLEN BRUCE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3402 CLARK AVE, CLEVELAND, OH 44109-1136
(216) 961-9414
Mailing address
15753 BALMORAL CT, STRONGSVILLE, OH 44136-2594
(440) 238-1568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-12438
OH
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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