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NPI Code Detail

MEDICARE: SABRA C RINIO

MEDICARE: SABRA C RINIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy325TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410001606OTHERMEDCO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023094802
Entity Type Code : Organization
Provider Name (Legal Business Name) : SABRA C RINIO
Provider Business Mailing Address
First Line : 425 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1323
Country : US
Telephone Number : 931-836-2414
Fax Number : 931-836-3950
Provider Business Practice Location Address
First Line : 425 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1323
Country : US
Telephone Number : 931-836-2414
Fax Number : 931-836-3950
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : SABRA C RINIO
Credential : RPH
Telephone Number : 931-836-2414
Provider Enumeration Date : 12/22/2005
Last Update Date : 06/17/2008

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Directions to “SABRA C RINIO ” Practice Location

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