Healthcare Provider Details

I. General information

NPI: 1184704710
Provider Name (Legal Business Name): FRANK WILSON WEBB RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S MAIN ST
YAZOO CITY MS
39194-4010
US

IV. Provider business mailing address

PO BOX 69
YAZOO CITY MS
39194-0069
US

V. Phone/Fax

Practice location:
  • Phone: 662-746-3253
  • Fax:
Mailing address:
  • Phone: 662-746-3253
  • Fax: 662-746-2474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE7336
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: