Provider Demographics
NPI:1225606726
Name:SAGERS, SABRINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:SAGERS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 THREE RIVERS RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-9259
Mailing Address - Country:US
Mailing Address - Phone:228-305-0055
Mailing Address - Fax:
Practice Address - Street 1:400 E PASS RD UNIT GULFPORT
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3236
Practice Address - Country:US
Practice Address - Phone:228-896-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-12
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE100197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist