| Organization Name: | WEIMER DRUG CO INC |
| NPI Number: | 1821119306 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DELRENE MARIE WILDER (PHARMACY TECH/BILLING MANAGER) |
| Mailing Address: | 422 Lincoln Ave Clay Center |
| State: | KS US |
| Postal Code: | 674322908 |
| Phone Number: | 7856323115 |
| Fax Number: | 7856323777 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 207255 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |