Provider Demographics
NPI:1821678822
Name:TEATRO, SABREE ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:SABREE
Middle Name:ANNE
Last Name:TEATRO
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 1:3706 LARCHMONT ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5265
Mailing Address - Country:US
Mailing Address - Phone:810-288-0031
Mailing Address - Fax:
Practice Address - Street 1:4141 MORRISH RD
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-7900
Practice Address - Country:US
Practice Address - Phone:810-635-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302413234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist