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Contact Information

WOODY WEAVER PHARMACY
2722 WEST GENTRY PARKWAY
TYLER, TX75702
 Phone: 903-593-2533
 Fax: 903-593-2555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WOODY WEAVER PHARMACY

NPI # 1629136460
LBN Legal business name WOODY WEAVER PHARMACY
Authorized official WOODROW WEAVER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
TX Medicaid 130525
Other 4532936 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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