Organization
THE PHARMACY SHOP OF WEIMAR INC
Active
Other names
The Pharmacy Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI HENNEKE (OWNER/PIC)
(979) 725-6713
Entity
Organization
Contact information
Practice address
406 YOUENS DR, WEIMAR, TX 78962-3680
(979) 725-6713
(979) 725-6655
Mailing address
406 YOUENS DR, WEIMAR, TX 78962
(979) 725-6713
(979) 725-6655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149620
—
TX
01
—
2167597
PK
—
Enumeration date
01/31/2017
Last updated
09/19/2025
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