Provider Demographics
NPI:1285971978
Name:RAPPA, ANTHONY STEPHEN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:STEPHEN
Last Name:RAPPA
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 BELLE TERRE PARKWAY
Mailing Address - Street 2:PUBLIX PHARMACY #1339
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137
Mailing Address - Country:US
Mailing Address - Phone:386-445-5350
Mailing Address - Fax:386-445-9107
Practice Address - Street 1:4950 BELLE TERRE PARKWAY
Practice Address - Street 2:PUBLIX PHARMACY #1339
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137
Practice Address - Country:US
Practice Address - Phone:386-445-5350
Practice Address - Fax:386-445-9107
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0030798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist