Individual
ROY WEATHERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
490 N 2ND E, REXBURG, ID 83440-1654
(208) 542-2088
Mailing address
85 E SUNSET CIR, REXBURG, ID 83440-9683
(208) 356-7746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-4245
ID
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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