Provider Demographics
NPI:1871887695
Name:DRAPP, TANIA NICHOLE (PHARM D, RPH)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:NICHOLE
Last Name:DRAPP
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 HWY 77
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4404
Mailing Address - Country:US
Mailing Address - Phone:850-785-9528
Mailing Address - Fax:850-785-9528
Practice Address - Street 1:2340 HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4404
Practice Address - Country:US
Practice Address - Phone:850-785-9528
Practice Address - Fax:850-785-9528
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0035697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist