MEDICARE: ROBERT ALLEN WEAVER RPH

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	RP026719L	PA

General Provider Information

NPI Number	:	1356649214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALLEN WEAVER RPH

Provider Business Mailing Address
First Line	:	301 INDEPENDENCE ST
Second Line	:	PO BOX 314
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473
Country	:	US
Telephone Number	:	724-736-4422
Fax Number	:	724-736-0715

Provider Business Practice Location Address
First Line	:	301 INDEPENDENCE ST
Second Line	:
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473
Country	:	US
Telephone Number	:	724-736-4422
Fax Number	:	724-736-0715

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

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	06/07/2026

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