MEDICARE: KATHRYNE WEBB PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0023476	CO

General Provider Information

NPI Number	:	1700478245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYNE WEBB PHARM.D.

Provider Business Mailing Address
First Line	:	416 PEAR MEADOWS ST
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-4470
Country	:	US
Telephone Number	:	803-727-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 PEAR MEADOWS ST
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-4470
Country	:	US
Telephone Number	:	803-727-0325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	02/05/2021

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