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NPI Code Detail

MEDICARE: AKSA ABRAHAM

MEDICARE: AKSA ABRAHAM
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
1183500000XPharmacist65658TX

General Provider Information

NPI Number : 1811598394
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKSA ABRAHAM
Provider Business Mailing Address
First Line : 6410 INTERSTATE 45
Second Line :
City : LA MARQUE
State : TX
Zip : 77568-3085
Country : US
Telephone Number : 409-986-7726
Fax Number :
Provider Business Practice Location Address
First Line : 6410 INTERSTATE 45
Second Line :
City : LA MARQUE
State : TX
Zip : 77568-3085
Country : US
Telephone Number : 409-986-7726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 12/21/2022

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Directions to “ AKSA ABRAHAM ” Practice Location

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