Healthcare Provider Details

I. General information

NPI: 1427662899
Provider Name (Legal Business Name): HEATHER DAWN WEICK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 BUFFALO GAP RD
ABILENE TX
79606-2703
US

IV. Provider business mailing address

4450 BUFFALO GAP RD
ABILENE TX
79606-2703
US

V. Phone/Fax

Practice location:
  • Phone: 325-695-4690
  • Fax: 325-695-5820
Mailing address:
  • Phone: 325-695-4690
  • Fax: 325-695-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number57385
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: