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Jacob Thoppilkalathil Abraham, R.Ph

Pharmacist in Waxhaw, NC. Individual provider (NPI-1).

NPI number1336462779
StatusActive
Last updated in NPPESMay 6, 2021

Details

NPI
1336462779
Entity type
Individual (NPI-1)
Name
Mr. Jacob Thoppilkalathil Abraham
Credential
R.Ph
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2010
Certification date
May 6, 2021
Last updated
May 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist16030NCYes

Practice location

8157 Kensington Dr
Waxhaw, NC 28173-0103

Phone 704-243-2034 · Fax 704-243-7853

Mailing address

3300 Monroe Rd Ste Ef
Charlotte, NC 28205-7853

Phone 800-589-5737

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