Provider Demographics
NPI:1811161888
Name:WEBSTER, JAMES W (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
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 1:1948 JUDD ST NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3727
Mailing Address - Country:US
Mailing Address - Phone:435-610-0353
Mailing Address - Fax:360-252-7834
Practice Address - Street 1:1948 JUDD ST NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-3727
Practice Address - Country:US
Practice Address - Phone:435-610-0353
Practice Address - Fax:360-252-7834
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT147766-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT147766-1701OtherSTATE LICENSE NUMBER