Wellformed AI

NPI 1578848917 · live from the CMS NPI Registry

Liju V Abraham, PHARM.D.

Pharmacist in Dallas, TX. National Provider Identifier 1578848917, active.

NPI record

NPI1578848917 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location8915 Harry Hines Blvd, Dallas, TX 75235
Practice phone214-351-3490
Mailing address2013 Magic Mantle Dr, The Colony, TX 75056
EnumeratedOctober 17, 2011
Last updatedJanuary 12, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist183500000XRPH024978 (GA)
Pharmacist183500000X0000034283 (TN)
Pharmacist primary183500000X56319 (TX)

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