MEDICARE: MR. DON G ABRAHAMSON RPH

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	R4344	SD

General Provider Information

NPI Number	:	1144520149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DON G ABRAHAMSON RPH

Provider Business Mailing Address
First Line	:	1606 NORTH AVE
Second Line	:	SUITE #2
City	:	SPEARFISH
State	:	SD
Zip	:	57783-1249
Country	:	US
Telephone Number	:	605-642-4747
Fax Number	:

Provider Business Practice Location Address
First Line	:	1606 NORTH AVE
Second Line	:	SUITE #2
City	:	SPEARFISH
State	:	SD
Zip	:	57783-1249
Country	:	US
Telephone Number	:	605-642-4747
Fax Number	:

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

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	10/25/2010

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