Weaver, Tara

Weaver, Tara is an individual health care provider with primary practice located at 715 S Clinton St , Grand Ledge MI 48837-2291. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Weaver, Tara can be contacted via phone (517) 627-2800.

Contact Information

Primary practice address
715 S Clinton St Grand Ledge MI 48837-2291
Phone: (517) 627-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302024201 Michigan

Profile Details

NPI number 1699066324
LBN Legal business name Weaver, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Apr 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers