Provider Demographics
NPI:1174893192
Name:NAPPER, THEODORE IRVIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:IRVIN
Last Name:NAPPER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7415
Mailing Address - Country:US
Mailing Address - Phone:239-321-0868
Mailing Address - Fax:
Practice Address - Street 1:12749 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3806
Practice Address - Country:US
Practice Address - Phone:239-939-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 42188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist