Provider Demographics
NPI:1861768897
Name:WEBB, NORA LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:NORA
Middle Name:LYNN
Last Name:WEBB
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14105 NE 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-1065
Mailing Address - Country:US
Mailing Address - Phone:360-901-4484
Mailing Address - Fax:
Practice Address - Street 1:2500 COLUMBIA HOUSE BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-7764
Practice Address - Country:US
Practice Address - Phone:360-619-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist