Provider Demographics
NPI:1285466631
Name:WEEKMAN, AVERY TAYLOR (PHARMD)
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:TAYLOR
Last Name:WEEKMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 BOULDER RIDGE RD APT 208
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-0241
Mailing Address - Country:US
Mailing Address - Phone:252-559-0626
Mailing Address - Fax:
Practice Address - Street 1:360 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-0107
Practice Address - Country:US
Practice Address - Phone:828-456-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC323991835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care