Provider Demographics
NPI:1609174838
Name:WEBSTER, DONALD ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ARTHUR
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-3601
Mailing Address - Country:US
Mailing Address - Phone:803-584-2151
Mailing Address - Fax:803-584-0174
Practice Address - Street 1:137 MAIN ST S
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-3601
Practice Address - Country:US
Practice Address - Phone:803-584-2151
Practice Address - Fax:803-584-0174
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist