Weaver Rocky Face Pharmacy P C
Organization Active NPI Community/Retail Pharmacy · Rocky Face, GA
NPI 1013073386 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1013073386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE008732 (GA)
- Legal business name
- WEAVER ROCKY FACE PHARMACY P C
- Practice address
- 2600 Old Chattanooga Rd
Rocky Face, GA 30740-8511 - Phone
- (706) 259-0668
- Fax
- (706) 259-1890
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Gwendolyn Weaver
- Title
- Owner/Chief Pharmacist
- Phone
- (706) 259-0668
Practitioners 1
-
Taylor Mitchell, PHARMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE008732 | GA | Yes |
Addresses
Primary practice location
2600 Old Chattanooga Rd
Rocky Face, GA 30740-8511
Mailing address
2600 Old Chattanooga Rd
Rocky Face, GA 30740-8511
Phone (706) 259-0668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411968250A | Medicaid | GA | |
| 2015481 | Other | PK |
Other names
- WEAVERS ROCKY FACE PHARMACY
Other providers in Rocky Face, GA
- Cassie Patt
- Deborah Lynn Rayner
- Diane Ryland
- Carmen Warren Shepard
- Lena Dijontala Ellanesha Washington
- Weavers Rocky Face Pharmacy Group Inc
- Dawn Machelle Wilhite
All providers in Rocky Face, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.