Individual provider · NPI-1
Ron Abraham, PharmD
Pharmacist · San Antonio, TX
NPI number1164022653
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1164022653
- Entity type
- Individual (NPI-1)
- Name
- Ron Abraham
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 61102 | TX | Yes |
Practice location
3302 Se Military DrSan Antonio, TX 78223-3734
Phone 210-337-4434
Mailing address
968 Windmill PkwyEvans, GA 30809-6664
Phone 706-664-7137
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