Healthcare Provider Details

I. General information

NPI: 1982936563
Provider Name (Legal Business Name): TIMOTHY DAVID WEBER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 09/01/2024
Certification Date: 09/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 BEACON RIDGE BLVD
CHAPEL HILL NC
27516-9820
US

IV. Provider business mailing address

424 BEACON RIDGE BLVD
CHAPEL HILL NC
27516-9820
US

V. Phone/Fax

Practice location:
  • Phone: 984-234-0195
  • Fax:
Mailing address:
  • Phone: 984-234-0195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02679500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15814
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: