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

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

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