Individual provider · NPI-1

Julie Abraham

Pharmacy · San Diego, CA

NPI number1275217283
StatusActive
Last updated in NPPESJun 12, 2023

Details

NPI
1275217283
Entity type
Individual (NPI-1)
Name
Julie Abraham
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 12, 2023
Certification date
Jun 10, 2023
Last updated
Jun 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy51216CAYes

Practice location

7901 Frost St
San Diego, CA 92123-2701

Phone 858-939-3717

Mailing address

634 H Ave
Coronado, CA 92118-2103

Phone 619-987-4067

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