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SUSAN ABRAHAM PHARM D
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1649553231
Individual Registrant: SUSAN ABRAHAM PHARM D
Gender: F
Sole Proprietor
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: --
Tel: 863-294-7487 Fax: --
Contact information for business:
705 1ST ST S WINTER HAVEN, FL 33880-3602 US
Tel: 863-294-7487 Fax: --
Tel: 863-294-7487 Fax: --
Registration Information:
NPI: 1649553231
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS39903 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
