Jackie Weaver, DC, PHARM D

NPI 1720072523 · on the registry since 2005 · sole proprietor

Practice

Address: 2726 W Gentry Pkwy
Tyler, TX 75702
Phone: (903) 593-2533
Fax: (903) 593-2555
Organisation at this address: Woody Weaver Pharmacy Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 111N00000X
111N00000X
Also registered as: 183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas