Mark Ryan Weidle, PHARMD

Pharmacist · Washington, MO

Individual Active NPI

NPI number 1316612542

Practice location

540 E 5TH St
Washington, MO 63090-2904
Phone
(636) 239-4707
Fax
(636) 239-5198

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NPI record

NPI
1316612542
Entity type
Individual (Type 1)
Enumeration date
August 10, 2021
Last updated
August 10, 2021
Certified
August 10, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2002017019 MO

About Dr. Weidle

Mark Ryan Weidle, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 540 E 5TH St, Washington, MO 63090-2904. The NPI number 1316612542 was assigned on August 10, 2021 and the record was last updated on August 10, 2021.

Dr. Weidle lists a license in the registry: #2002017019 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Ryan Weidle, PHARMD?

The NPI number is 1316612542.

What is the phone number of Dr. Weidle?

The phone number listed for the practice location is (636) 239-4707.

Where is Dr. Weidle located?

540 E 5TH St, Washington, MO 63090-2904.

What is the taxonomy code for Dr. Weidle?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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