Provider Demographics
NPI:1922320118
Name:WEHBY, MARILYN J (PHMD)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:J
Last Name:WEHBY
Suffix:
Gender:F
Credentials:PHMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1974 CHANDALAR DR STE B
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1393
Mailing Address - Country:US
Mailing Address - Phone:205-621-1515
Mailing Address - Fax:
Practice Address - Street 1:1974 CHANDALAR DR STE B
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1393
Practice Address - Country:US
Practice Address - Phone:205-621-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist