Healthcare Provider Details

I. General information

NPI: 1932367885
Provider Name (Legal Business Name): SVETLANA ABRAMOVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7418-32 OXFORD AVE
PHILADELPHIA PA
19111
US

IV. Provider business mailing address

7418-32 OXFORD AVE
PHILADELPHIA PA
19111
US

V. Phone/Fax

Practice location:
  • Phone: 215-725-6660
  • Fax:
Mailing address:
  • Phone: 215-725-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP441012
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: