Wellformed AI

NPI 1164022653 · live from the CMS NPI Registry

Ron Abraham, PharmD

Pharmacist in San Antonio, TX. National Provider Identifier 1164022653, active.

NPI record

NPI1164022653 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location3302 Se Military Dr, San Antonio, TX 78223
Practice phone210-337-4434
Mailing address968 Windmill Pkwy, Evans, GA 30809
EnumeratedOctober 26, 2020
Last updatedOctober 26, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X61102 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.