Individual
DAVID GLEN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
HWY 12 NR 110, FORT DEFIANCE, AZ 86504
(928) 729-8325
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8788125-1701
UT
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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