Provider Demographics
NPI:1437248366
Name:WEIBERT, ROBERT T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:WEIBERT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WEST ARBOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-8238
Mailing Address - Country:US
Mailing Address - Phone:619-471-9166
Mailing Address - Fax:619-471-9167
Practice Address - Street 1:200 WEST ARBOR DRIVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8238
Practice Address - Country:US
Practice Address - Phone:619-471-9166
Practice Address - Fax:619-471-9167
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH26831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist