MEDICARE: DEBORAH ABRAHAM PHARMD, BCPS

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
1	183500000X	Pharmacist	76267	CA

General Provider Information

NPI Number	:	1073392270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ABRAHAM PHARMD, BCPS

Provider Business Mailing Address
First Line	:	10991 LOTTA CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-1171
Country	:	US
Telephone Number	:	194-935-1262
Fax Number	:

Provider Business Practice Location Address
First Line	:	10991 LOTTA CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-1171
Country	:	US
Telephone Number	:	194-935-1262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	09/26/2023

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