Individual provider · NPI-1

Bryan Abraham

Pharmacist · Dallas, TX

NPI number1174128995
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1174128995
Entity type
Individual (NPI-1)
Name
Bryan Abraham
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 1, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist63258TXYes

Practice location

7102 Campbell Rd
Dallas, TX 75248-1503

Phone 972-931-7045

Mailing address

1812 Auburn Dr
Carrollton, TX 75007-1451

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