Individual
MRS. DAWN M WEISBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2463 US ROUTE 9W, RAVENA, NY 12143-2610
(518) 756-6131
Mailing address
22 CLOVER LEAF LN, GLENMONT, NY 12077-3140
(518) 436-7429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39504
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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