Provider Demographics
NPI:1639428378
Name:WEBER, JOHN HENRY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HENRY
Last Name:WEBER
Suffix:JR
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 1:2310 W. BOBO NEWSOM HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-7414
Mailing Address - Country:US
Mailing Address - Phone:843-332-4191
Mailing Address - Fax:843-383-2231
Practice Address - Street 1:2310 W. BOBO NEWSOM HIGHWAY
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-7414
Practice Address - Country:US
Practice Address - Phone:843-332-4191
Practice Address - Fax:843-383-2231
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist