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NPI Code Detail

MEDICARE: KATHLEEN WEAVER PHARM D

MEDICARE: KATHLEEN WEAVER PHARM D
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
1183500000XPharmacist1-13914KS

General Provider Information

NPI Number : 1902290372
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN WEAVER PHARM D
Provider Business Mailing Address
First Line : 14955 W 151ST ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-3110
Country : US
Telephone Number : 913-780-9449
Fax Number : 913-780-6744
Provider Business Practice Location Address
First Line : 14955 W 151ST ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-3110
Country : US
Telephone Number : 913-780-9449
Fax Number : 913-780-6744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2015
Last Update Date : 03/25/2015

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Directions to “ KATHLEEN WEAVER PHARM D” Practice Location

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