Provider Demographics
NPI:1093072068
Name:WEBSTER, ADRIAN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:ADRIAN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:ADRIAN
Other - Middle Name:D
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4207 LEMMON AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2704
Mailing Address - Country:US
Mailing Address - Phone:214-528-0328
Mailing Address - Fax:
Practice Address - Street 1:4207 LEMMON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2704
Practice Address - Country:US
Practice Address - Phone:214-528-0328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist