Provider Demographics
NPI:1114259181
Name:WEIMER, LINDA JO (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JO
Last Name:WEIMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 LAPORTE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4934
Mailing Address - Country:US
Mailing Address - Phone:724-776-5542
Mailing Address - Fax:724-776-5582
Practice Address - Street 1:3000 ERICSSON DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-6501
Practice Address - Country:US
Practice Address - Phone:724-772-6000
Practice Address - Fax:724-742-2460
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-031972-L183500000X
ARPD09003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist