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NPI Code Detail

MEDICARE: ABRAHAM RASSON PHARMACIST

MEDICARE:   ABRAHAM  RASSON  PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835G0303XGeriatric Pharmacist38193TX
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist38193TX

General Provider Information

NPI Number : 1326211814
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM RASSON PHARMACIST
Provider Business Mailing Address
First Line : 2962 S LONGHORN DR
Second Line : VA MEDICAL CENTER
City : LANCASTER
State : TX
Zip : 75134-2118
Country : US
Telephone Number : 972-228-6230
Fax Number :
Provider Business Practice Location Address
First Line : 2962 S LONGHORN DR
Second Line :
City : LANCASTER
State : TX
Zip : 75134-2118
Country : US
Telephone Number : 972-228-6230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2008
Last Update Date : 04/07/2008

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Directions to “ ABRAHAM RASSON PHARMACIST” Practice Location

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