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SUSAN ABRAHAM PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1649553231

Individual Registrant:
 SUSAN  ABRAHAM PHARM D
Gender: F
Sole Proprietor

Location and contact information for practice:
705 1ST ST S  WINTER HAVEN, FL 33880-3602 US
Tel: 863-294-7487  Fax: --

Contact information for business:
705 1ST ST S  WINTER HAVEN, FL 33880-3602 US
Tel: 863-294-7487  Fax: --

Registration Information:
NPI: 1649553231
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS39903

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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