Provider Demographics
NPI:1649278060
Name:GRIGGS, SABRINA KAYE (RPH)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:KAYE
Last Name:GRIGGS
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 1:1200 SPUR 100
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-9753
Mailing Address - Country:US
Mailing Address - Phone:830-896-9333
Mailing Address - Fax:
Practice Address - Street 1:1228 BANDERA HWY
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-257-0732
Practice Address - Fax:830-257-8486
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11056183500000X
TX27538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist