Provider Demographics
NPI:1043646888
Name:WEBB, ANDREW SHEA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SHEA
Last Name:WEBB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17218 YELLOW ROSE WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1618
Mailing Address - Country:US
Mailing Address - Phone:480-203-4909
Mailing Address - Fax:
Practice Address - Street 1:17218 YELLOW ROSE WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1618
Practice Address - Country:US
Practice Address - Phone:480-203-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020793183500000X
NMRP00008055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist