Individual provider · NPI-1

Jeffrey V Abeldt

Pharmacist · Tyler, TX

NPI number1407067911
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407067911
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey V Abeldt
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist35981TXYes

Practice location

314 W Rusk St
Tyler, TX 75701-1513

Phone 903-533-8155 · Fax 903-533-8158

Mailing address

314 W Rusk St
Tyler, TX 75701-1513

Phone 903-533-8155 · Fax 903-533-8158

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