NPI 1003325549

Kyle Justin Weaver

Practitioner Pharmacist Gilbert, AZ

Practice location

Address: 805 S Val Vista Dr, Gilbert, AZ 85296-3788
Phone: (480) 892-6039
Mailing address: 1253 E Dover St, Mesa, AZ 85203-6517

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence S023049 (AZ)

Other Pharmacist providers in Arizona →

Registry record

NPI: 1003325549
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2017
Record last updated: 27 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.