Individual provider · NPI-1
Ethan Micah Weiller Abels, PharmD
Pharmacist · Dallas, TX
NPI number1871257378
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1871257378
- Entity type
- Individual (NPI-1)
- Name
- Ethan Micah Weiller Abels
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 69721 | TX | Yes |
Practice location
6707 W Northwest HwyDallas, TX 75225-4201
Phone 214-361-4637
Mailing address
6707 W Northwest HwyDallas, TX 75225-4201
Phone 214-361-4637
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