Individual provider · NPI-1
Asha Abraham, Pharm. D
Pharmacist · Dallas, TX
NPI number1376896316
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1376896316
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Asha Abraham
- Credential
- Pharm. D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2012
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 54294 | TX | Yes |
| 183500000X | Pharmacist | 056275 | NY | |
| 183500000X | Pharmacist | 03190200 | NJ |
Practice location
6185 Retail Rd Ste 200Dallas, TX 75231-7807
Phone 972-656-2215
Mailing address
6185 Retail RdDallas, TX 75231-7807
Phone 972-656-2215
Other practice locations
77 Green Acres Rd
Valley Stream, NY 11581-1008
Valley Stream, NY 11581-1008
Phone 516-887-5128
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