Provider Demographics
NPI:1346358124
Name:APPOLD, T KEVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:T
Middle Name:KEVIN
Last Name:APPOLD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:THEODORE
Other - Middle Name:K
Other - Last Name:APPOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7465 PAUROTIS CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-7118
Mailing Address - Country:US
Mailing Address - Phone:941-922-5405
Mailing Address - Fax:
Practice Address - Street 1:6204 14TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-4610
Practice Address - Country:US
Practice Address - Phone:941-755-3716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39419183500000X
MI5302030014183500000X
HIPH2490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist