Gary John Weidemann, RPh
Pharmacist in Rolla, MO. Individual provider (NPI-1).
NPI number1750604591
StatusActive
Last updated in NPPESMar 8, 2010
Details
- NPI
- 1750604591
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary John Weidemann
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2010
- Last updated
- Mar 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 044150 | MO | Yes |
Practice location
1003 S Bishop AveRolla, MO 65401-4437
Phone 573-364-6079
Mailing address
10575 County Road 2038Rolla, MO 65401-8462
Phone 573-368-2993
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All 37 Pharmacist providers in Rolla · All 863 providers in Rolla
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