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Dr. Jackie Lynn Weaver, DC,PHARMD
Pharmacist in Tyler, Texas
NPI 1720072523

Jackie Lynn Weaver is a Pharmacist based in Tyler, TX. Jackie Lynn Weaver practices in Tyler, TX and has the professional credentials of DC,PHARMD. The NPI Number for Jackie Lynn Weaver is 1720072523 and holds a License No. 6129 DC (Texas).

The current practice location address for Jackie Lynn Weaver is 2726 W Gentry Pkwy, Tyler, TX and can be reached out via phone at 903-593-2533 and via fax at 903-593-2555.

Location: 2726 W Gentry Pkwy, Tyler, TX, 75702-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720072523
Provider Name
Jackie Lynn Weaver
Credential
DC,PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2726 W Gentry Pkwy, Tyler, TX, 75702-1635
Phone Number
903-593-2533
Fax Number
903-593-2555
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001665101 05 TX
8K1680 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2726 W Gentry Pkwy
City
Tyler
State
Texas
Zip
75702-1635
Phone Number
903-593-2533
Fax Number
903-593-2555
person
Provider Business Mailing Address Details
Address
2726 W Gentry Pkwy
City
Tyler
State
Texas
Zip
75702-1635
Phone Number
903-593-2533
Fax Number
903-593-2555
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
48560 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
6129 DC (Texas)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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