Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE ALAN WEAVER
ActiveWADE ALAN WEAVER is a Pharmacist Clinician (PhC) healthcare provider located in BOONEVILLE, Arkansas. NPI 1538803374 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · BOONEVILLE, AR
Registration Details
- NPI Number
- 1538803374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2022 (4.336633601411 yrs)
- Last Updated
- May 12, 2022
- License
-
PD15764 (AR)
Practice Information
- Address
-
1531 E MAIN STBOONEVILLE, AR, 729274921Browse AR providers · Browse ZIP 72927
- Phone
- 4796753900
- Fax
- 4796755909
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.