Provider Demographics
NPI:1679797005
Name:SAPP, TERESA NIXON (RPH)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:NIXON
Last Name:SAPP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:NIXON
Other - Last Name:SALIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1322 SOLANO ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021-3053
Mailing Address - Country:US
Mailing Address - Phone:530-824-0800
Mailing Address - Fax:530-824-0500
Practice Address - Street 1:1322 SOLANO ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021-3053
Practice Address - Country:US
Practice Address - Phone:530-824-0800
Practice Address - Fax:530-824-0500
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist