MEDICARE: SHELDON WEBB

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	14272	OK

General Provider Information

NPI Number	:	1558219162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELDON WEBB

Provider Business Mailing Address
First Line	:	10425 WALNUT HOLLOW DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10425 WALNUT HOLLOW DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1221
Country	:	US
Telephone Number	:	763-910-9588
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ SHELDON WEBB ” Practice Location

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