Provider Demographics
NPI:1306835277
Name:WEBSTER, ANDREW A (RPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:A
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 HENRY DR
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8947
Mailing Address - Country:US
Mailing Address - Phone:205-726-2267
Mailing Address - Fax:205-726-2088
Practice Address - Street 1:800 LAKESHORE DR
Practice Address - Street 2:SUPC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229-0001
Practice Address - Country:US
Practice Address - Phone:205-726-2267
Practice Address - Fax:205-726-2088
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist