NPI 1124854823 · live from the CMS NPI Registry
Vicquieron Kalrissian Abbott
Pharmacist in Port Arthur, TX. National Provider Identifier 1124854823, active.
NPI record
| NPI | 1124854823 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 3700 Highway 365, Port Arthur, TX 77642 |
| Practice phone | 409-724-1914 |
| Enumerated | September 10, 2024 |
| Last updated | April 6, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 74729 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.