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NPI Code Detail

MEDICARE: MRS. REBECCA ANN SAPP PHARMD

MEDICARE: MRS. REBECCA ANN SAPP PHARMD
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
1183500000XPharmacistPS41264FL

General Provider Information

NPI Number : 1467732198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANN SAPP PHARMD
Provider Business Mailing Address
First Line : 4284 133RD RD
Second Line :
City : LIVE OAK
State : FL
Zip : 32060-0352
Country : US
Telephone Number : 386-688-4148
Fax Number :
Provider Business Practice Location Address
First Line : 211 RANCHERA ST NW
Second Line :
City : LIVE OAK
State : FL
Zip : 32064-4866
Country : US
Telephone Number : 386-678-6292
Fax Number : 833-678-0319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 03/11/2026

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