Provider Demographics
NPI:1255458949
Name:SAPP, TERESA ANITA (PHARMD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANITA
Last Name:SAPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:SAPP
Other - Last Name:WILKERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:204 CARRINGTON PL
Mailing Address - Street 2:APARTMENT 12
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-0993
Mailing Address - Country:US
Mailing Address - Phone:910-868-8516
Mailing Address - Fax:910-907-8506
Practice Address - Street 1:2817 REILLY ROAD WOMACK ARMY MEDICAL CTR
Practice Address - Street 2:DEPARTMENT OF PHARMACY STOP A
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-6987
Practice Address - Fax:910-907-8506
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL118551835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy