MEDICARE: DR. MELISSA WEBSTER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	E-11788	MS

General Provider Information

NPI Number	:	1235400763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA WEBSTER PHARM.D.

Provider Business Mailing Address
First Line	:	3082 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-4354
Country	:	US
Telephone Number	:	228-872-2646
Fax Number	:	228-818-5632

Provider Business Practice Location Address
First Line	:	3082 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-4354
Country	:	US
Telephone Number	:	228-872-2646
Fax Number	:	228-818-5632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	01/13/2012

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