Healthcare Provider Details

I. General information

NPI: 1437870821
Provider Name (Legal Business Name): DEVON WEBSTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 LINDEN ST
CHADRON NE
69337-6989
US

IV. Provider business mailing address

510 LINDEN ST
CHADRON NE
69337-6989
US

V. Phone/Fax

Practice location:
  • Phone: 308-432-6995
  • Fax:
Mailing address:
  • Phone: 308-432-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16480
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: