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 codeDescriptionLicenseStatePrimary
183500000X Pharmacist69721TXYes

Practice location

6707 W Northwest Hwy
Dallas, TX 75225-4201

Phone 214-361-4637

Mailing address

6707 W Northwest Hwy
Dallas, TX 75225-4201

Phone 214-361-4637

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Dallas, TX