Provider Demographics
NPI:1437434388
Name:WEATHERFORD, BRET ALAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:ALAN
Last Name:WEATHERFORD
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 1:400 S MAIN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7807
Mailing Address - Country:US
Mailing Address - Phone:501-203-2659
Mailing Address - Fax:
Practice Address - Street 1:400 S MAIN ST STE 700
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7807
Practice Address - Country:US
Practice Address - Phone:501-203-2659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist