Provider Demographics
NPI:1528313731
Name:WEBB, SANDRA NICOLE (PHARM D)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:NICOLE
Last Name:WEBB
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 N HAMILTON RD RM 1370
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-366-7551
Mailing Address - Fax:614-366-7130
Practice Address - Street 1:6100 N HAMILTON RD RM 1370
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-366-7551
Practice Address - Fax:614-366-7130
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH 03131714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist