Individual provider · NPI-1

Jacquline Elza Abraham, Pharm D

Pharmacist · Tampa, FL

NPI number1104786946
StatusActive
Last updated in NPPESNov 19, 2025

Details

NPI
1104786946
Entity type
Individual (NPI-1)
Name
Jacquline Elza Abraham
Credential
Pharm D
Sex
Female
Sole proprietor
No
Enumeration date
Nov 14, 2025
Certification date
Nov 14, 2025
Last updated
Nov 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS65517FLYes

Practice location

4620 N 22nd St
Tampa, FL 33610-6205

Phone 813-272-6240 · Fax 813-272-6241

Mailing address

4620 N 22nd St
Tampa, FL 33610-6205

Phone 813-272-6240 · Fax 813-272-6241

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