MEDICARE: DR. AIMEE WEINER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18306	NC

General Provider Information

NPI Number	:	1356633242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIMEE WEINER PHARMD

Provider Business Mailing Address
First Line	:	7715 REGENCY PARK DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8938
Country	:	US
Telephone Number	:	704-892-3924
Fax Number	:	704-892-8486

Provider Business Practice Location Address
First Line	:	7715 REGENCY PARK DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8938
Country	:	US
Telephone Number	:	704-892-3924
Fax Number	:	704-892-8486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	05/10/2011

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