Provider Demographics
NPI:1164742854
Name:WILLIAMS, SABRINA SCRUGGS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:SCRUGGS
Last Name:WILLIAMS
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 1:416 EDENCREST CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1918
Mailing Address - Country:US
Mailing Address - Phone:615-717-0138
Mailing Address - Fax:615-834-4127
Practice Address - Street 1:416 EDENCREST CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1918
Practice Address - Country:US
Practice Address - Phone:615-717-0138
Practice Address - Fax:615-834-4127
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11399183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist