Provider Demographics
NPI:1033431978
Name:WEISS, JEFFREY J (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:J
Last Name:WEISS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 ALLEGHENY BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2975
Mailing Address - Country:US
Mailing Address - Phone:814-437-7626
Mailing Address - Fax:814-432-5645
Practice Address - Street 1:491 ALLEGHENY BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2975
Practice Address - Country:US
Practice Address - Phone:814-437-7626
Practice Address - Fax:814-432-5645
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038022L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy