Individual provider · NPI-1
Camille Abraham
Pharmacist · Boston, MA
NPI number1992579049
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1992579049
- Entity type
- Individual (NPI-1)
- Name
- Camille Abraham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH26600 | MA | Yes |
Practice location
780 Albany StBoston, MA 02118-2755
Phone 857-654-1791
Mailing address
15 Pope Hill RdMilton, MA 02186-2520
Phone 617-290-6494
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