Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gary John Weidemann, RPH

Individual provider Pharmacist · NPI 1750604591

Mr. Gary John Weidemann, RPH is a Pharmacist in Rolla, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1003 S Bishop Ave
Rolla, MO 65401-4437
Phone: (573) 364-6079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 044150 (MO)

Record details

NPI number1750604591
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 8, 2010
Last updated in NPPESMarch 8, 2010
Mailing address10575 County Road 2038, Rolla, MO 65401-8462

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