Individual ProviderCarolyn K. WeissPharmacistPharmacy Service ProvidersPractice Address461 Skymaster Cir Bldg 650, Travis Afb, CA 94535-1909(415) 716-4652(434) 409-6805PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn K. Weiss does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1942382205Provider TypeIndividualFull NameWeiss, Carolyn K.TitleMs.CredentialRPHGenderFemaleSole ProprietorNoEnumeration Date10/19/2006Last Updated6/8/2023Contact InformationPractice LocationPractice Address461 Skymaster Cir Bldg 650, Travis Afb, CA 94535-1909Phone(415) 716-4652FaxUnlisted FaxMailing LocationMailing Address461 Skymaster Cir Bldg 650, Travis Afb, CA 94535-1909Phone(434) 409-6805FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense8384Arizona