Provider Demographics
NPI:1427660109
Name:APFEL, SAVANNAH BLAIR
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:BLAIR
Last Name:APFEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 BASSWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-4968
Mailing Address - Country:US
Mailing Address - Phone:682-316-6387
Mailing Address - Fax:
Practice Address - Street 1:1653 BASSWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-4968
Practice Address - Country:US
Practice Address - Phone:682-316-6387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX591031835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist