Provider Demographics
NPI:1083335194
Name:ATKINSON, SABRA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SABRA
Middle Name:ELIZABETH
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 CIBOLO VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3801
Mailing Address - Country:US
Mailing Address - Phone:210-659-9188
Mailing Address - Fax:
Practice Address - Street 1:602 CIBOLO VALLEY DR
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3801
Practice Address - Country:US
Practice Address - Phone:210-659-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist