Individual provider · Type 1 NPI
Mary Jo Weidenbaum
Pharmacist · Brodheadsville, PA
Practice location
Cvs Pharmacy, Rt 209 And 115
Brodheadsville, PA 18322
Mailing address
PO Box 1120
Brodheadsville, PA 18322-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RP035615T (PA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1639775240
Mary Jo Weidenbaum's National Provider Identifier is 1639775240, issued on Dec 9, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Brodheadsville, PA. The record was last updated on Dec 9, 2020.