Provider Demographics
NPI:1851438279
Name:WEYERS, GEORGE RODNEY
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:RODNEY
Last Name:WEYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13440 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4844
Mailing Address - Country:US
Mailing Address - Phone:602-547-3883
Mailing Address - Fax:602-547-8228
Practice Address - Street 1:13440 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4844
Practice Address - Country:US
Practice Address - Phone:602-547-3883
Practice Address - Fax:602-547-8228
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist