Provider Demographics
NPI:1659972180
Name:HAPPEL, SONYA FRAZIER
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:FRAZIER
Last Name:HAPPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 CARTERS GARDEN TER
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-3019
Mailing Address - Country:US
Mailing Address - Phone:804-337-3811
Mailing Address - Fax:804-897-0418
Practice Address - Street 1:901 WALMART WAY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2600
Practice Address - Country:US
Practice Address - Phone:804-897-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist