Provider Demographics
NPI:1205220068
Name:WEBB, DEREK (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DEREK
Middle Name:
Last Name:WEBB
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 TOWNE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3248
Mailing Address - Country:US
Mailing Address - Phone:276-628-2580
Mailing Address - Fax:276-628-8043
Practice Address - Street 1:396 TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3248
Practice Address - Country:US
Practice Address - Phone:276-628-2580
Practice Address - Fax:276-628-8043
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist