Healthcare Provider Details

I. General information

NPI: 1891096020
Provider Name (Legal Business Name): JEFFREY DAVID SABRI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WASHINGTON STREET
MIDDLEBURG VA
20118
US

IV. Provider business mailing address

12 WASHINGTON STREET P O BOX 121
MIDDLEBURG VA
20118
US

V. Phone/Fax

Practice location:
  • Phone: 540-687-6438
  • Fax: 540-687-5963
Mailing address:
  • Phone: 540-687-6438
  • Fax: 540-687-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202006090
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: