Provider Demographics
NPI:1255450821
Name:SAPP, AARON (RPH)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:SAPP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 WOODS DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-3403
Mailing Address - Country:US
Mailing Address - Phone:847-975-6487
Mailing Address - Fax:
Practice Address - Street 1:421 3RD ST S
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4955
Practice Address - Country:US
Practice Address - Phone:651-779-4026
Practice Address - Fax:651-779-2023
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019091A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist