Weaver, Travis

Weaver, Travis is an individual health care provider with primary practice located at 4430 Missouri Ave Pharmacy Division, Fort Leonard Wood MO 65473-9098. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Weaver, Travis can be contacted via phone (573) 596-0514.

Contact Information

Primary practice address
4430 Missouri Ave Pharmacy Division Fort Leonard Wood MO 65473-9098
Phone: (573) 596-0514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP448887 Pennsylvania

Profile Details

NPI number 1114312014
LBN Legal business name Weaver, Travis
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 30th, 2015 - about 10 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.

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