Provider Demographics
NPI:1558959452
Name:SAPPE, TRENT MICHAEL (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:MICHAEL
Last Name:SAPPE
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 E 69TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4713
Mailing Address - Country:US
Mailing Address - Phone:912-629-0444
Mailing Address - Fax:912-629-0443
Practice Address - Street 1:603 E 69TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4713
Practice Address - Country:US
Practice Address - Phone:912-629-0444
Practice Address - Fax:912-629-0443
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist