Provider Demographics
NPI:1235254277
Name:WEBB, AMIE G (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:G
Last Name:WEBB
Suffix:
Gender:F
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:PO BOX 1055
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:MS
Mailing Address - Zip Code:39555-1055
Mailing Address - Country:US
Mailing Address - Phone:228-588-3618
Mailing Address - Fax:
Practice Address - Street 1:5651 C MOFFAT RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618
Practice Address - Country:US
Practice Address - Phone:251-461-9909
Practice Address - Fax:251-461-9982
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL05146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist