Provider Demographics
NPI:1063977445
Name:WEBB, RYAN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:WEBB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 SEVEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6481
Mailing Address - Country:US
Mailing Address - Phone:615-267-0355
Mailing Address - Fax:
Practice Address - Street 1:871 SEVEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6481
Practice Address - Country:US
Practice Address - Phone:615-267-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-09
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist