Provider Demographics
NPI:1801220066
Name:WEBB, SHAYLEY LEIGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHAYLEY
Middle Name:LEIGH
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 1:3426 S UNIVERSITY RD
Mailing Address - Street 2:P.O. BOX 141268
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5855
Mailing Address - Country:US
Mailing Address - Phone:509-921-2292
Mailing Address - Fax:
Practice Address - Street 1:3426 S UNIVERSITY RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5855
Practice Address - Country:US
Practice Address - Phone:509-921-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60372968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist