Woody Weaver Pharmacy in Tyler - Pharmacy
Woody Weaver Pharmacy - NPI 1629136460
Woody Weaver Pharmacy is a Pharmacy in Tyler, Texas. Woody Weaver Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Woody Weaver Pharmacy is 1629136460. The last update date is 2023-03-07.
Woody Weaver Pharmacy's current location address is 2722 West Gentry Parkway, Tyler, Texas. You can contact this provider via phone number 9035932533 and fax number 9035932555. The mailing address for Woody Weaver Pharmacy is 2722 West Gentry Parkway, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woody Weaver Pharmacy |
|---|---|
| Address | 2722 West Gentry Parkway, Tyler, Texas |
| Phone Number | 9035932533 |
| Fax Number | 9035932555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Weaver Vernon Woodrow |
| Credentials | RPH |
| Telephone Number | 9035932533 |
NPI Number Detail
| NPI Number | 1629136460 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2722 West Gentry Parkway |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75702 |
| Phone Number | 9035932533 |
| Fax Number | 9035932555 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130525 | TX | -- | |
| 4532936 | NABP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Woody Weaver Pharmacy by the Centers for Medicare & Medicaid Services?
The Woody Weaver Pharmacy has been assigned the NPI (National Provider Identifier) 1629136460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Woody Weaver Pharmacy's physical address?
The Woody Weaver Pharmacy is physically located at 2722 West Gentry Parkway, in the city of Tyler, TX, with the postal code 75702.
What is the Woody Weaver Pharmacy's specialty and taxonomy code?
The Woody Weaver Pharmacy's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did Woody Weaver Pharmacy receive its 1629136460 assignment from the Centers for Medicare & Medicaid Services?
The Woody Weaver Pharmacy was assigned its 1629136460 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Woody Weaver Pharmacy most recently updated or refreshed?
The details pertaining to the Woody Weaver Pharmacy, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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