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NPI Code Detail

MEDICARE: NATALEE WEAVER PHARMD

MEDICARE: NATALEE WEAVER 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
1183500000XPharmacist76336TX

General Provider Information

NPI Number : 1629941398
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALEE WEAVER PHARMD
Provider Business Mailing Address
First Line : 16 GREENLEAF DR
Second Line :
City : TROPHY CLUB
State : TX
Zip : 76262-9767
Country : US
Telephone Number : 801-921-1305
Fax Number :
Provider Business Practice Location Address
First Line : 101 TROPHY LAKE DR
Second Line :
City : TROPHY CLUB
State : TX
Zip : 76262-5233
Country : US
Telephone Number : 817-490-6968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2025
Last Update Date : 09/27/2025

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Directions to “ NATALEE WEAVER PHARMD” Practice Location

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