Provider Demographics
NPI:1184600959
Name:RINIO, SABRA C (RPH)
Entity type:Individual
Prefix:MRS
First Name:SABRA
Middle Name:C
Last Name:RINIO
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 1:370 S LOWE AVE STE A154
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4730
Mailing Address - Country:US
Mailing Address - Phone:931-261-2931
Mailing Address - Fax:
Practice Address - Street 1:159 W. TURNTABLE DRIVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583
Practice Address - Country:US
Practice Address - Phone:931-837-1240
Practice Address - Fax:931-837-1243
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist