NPI 1174128995 · live from the CMS NPI Registry
Bryan Abraham
Pharmacist in Dallas, TX. National Provider Identifier 1174128995, active.
NPI record
| NPI | 1174128995 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 7102 Campbell Rd, Dallas, TX 75248 |
| Practice phone | 972-931-7045 |
| Mailing address | 1812 Auburn Dr, Carrollton, TX 75007 |
| Enumerated | December 1, 2020 |
| Last updated | December 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 63258 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.