Healthcare Provider Details

I. General information

NPI: 1700976784
Provider Name (Legal Business Name): F Z WEBB & SONS OF ALEXANDRIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S PUBLIC SQ
ALEXANDRIA TN
37012-2140
US

IV. Provider business mailing address

PO BOX 218
ALEXANDRIA TN
37012-0218
US

V. Phone/Fax

Practice location:
  • Phone: 615-529-2160
  • Fax: 615-529-4442
Mailing address:
  • Phone: 615-529-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2387
License Number StateTN

VIII. Authorized Official

Name: PAULA ROLLER
Title or Position: OWNER/PRESIDENT/AO
Credential: RPH
Phone: 615-529-2160