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MR. JOSEPH E. ABRAHAM RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1285705608

Individual Registrant:
MR. JOSEPH E. ABRAHAM RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
1450 W MCCOY LN STE B  SANTA MARIA, CA 93455-1059 US
Tel: 805-748-4440  Fax: 805-928-6200

Contact information for business:
5865 QUAIL CT  SANTA MARIA, CA 93455-6034 US
Tel: 805-748-4440  Fax: 805-310-4515

Registration Information:
NPI: 1285705608
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
CARPH40844
Y1835P0018XPharmacy Service Providers
Pharmacist
CAAPH10731

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DRUG ENFORCEMENT AGENCY -DEAMA630076101
BOARD OF PHARMACYRPH40844CA01
BOARD OF PHARMACY10731CA01




HEALTH CARE JOBS CA - Page 1



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