Provider Demographics
NPI:1821325507
Name:QUARLES, SABRA L (RPH)
Entity Type:Individual
Prefix:
First Name:SABRA
Middle Name:L
Last Name:QUARLES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 DAWNING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2820
Mailing Address - Country:US
Mailing Address - Phone:910-297-0010
Mailing Address - Fax:
Practice Address - Street 1:1361 N LAKE PARK BLVD
Practice Address - Street 2:
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-3946
Practice Address - Country:US
Practice Address - Phone:910-458-4172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist