Healthcare Provider Details

I. General information

NPI: 1528985678
Provider Name (Legal Business Name): WEISER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 STATE ST
WEISER ID
83672-1961
US

IV. Provider business mailing address

1330 HWY 95
WEISER ID
83672-5508
US

V. Phone/Fax

Practice location:
  • Phone: 209-480-9829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHERYL STRIPLIN
Title or Position: CO OWNER
Credential: PHARMD.
Phone: 209-480-2634