Healthcare Provider Details

I. General information

NPI: 1285670075
Provider Name (Legal Business Name): WILLIAM B. WEBSTER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9525 BLIND PASS RD COURAGEOUS #1001
ST PETE BEACH FL
33706-1354
US

IV. Provider business mailing address

9525 BLIND PASS RD COURAGEOUS #1001
ST PETE BEACH FL
33706-1354
US

V. Phone/Fax

Practice location:
  • Phone: 727-363-0072
  • Fax: 727-363-3082
Mailing address:
  • Phone: 727-363-0072
  • Fax: 727-363-3082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS19948
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: