| Wade Alan Weaver, | |
|
1531 E Main St, Booneville, AR 72927-4921 | |
| (479) 675-3900 | |
| (479) 675-5909 |
| Full Name | Wade Alan Weaver |
|---|---|
| Gender | Male |
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
| Location | 1531 E Main St, Booneville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538803374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PD15764 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Alan Weaver, 1531 E Main St, Booneville, AR 72927-4921 Ph: (479) 675-3900 | Wade Alan Weaver, 1531 E Main St, Booneville, AR 72927-4921 Ph: (479) 675-3900 |
Andrea Daniel, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Main St, Booneville, AR 72927 Phone: 479-675-5341 | |
Jackson Brett Allen, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Main St, Booneville, AR 72927 Phone: 479-675-5341 Fax: 479-675-3400 | |
Orville Moses Geddes, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1531 E Main St, Booneville, AR 72927 Phone: 479-675-3900 |