MEDICARE: ABIGALE PAVLACK PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	700688	NC

General Provider Information

NPI Number	:	1992651913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGALE PAVLACK PHARMD

Provider Business Mailing Address
First Line	:	601 TORPOINT RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-6875
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 PRATT ST STE 5000
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3976
Country	:	US
Telephone Number	:	919-668-4083
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ ABIGALE PAVLACK PHARMD” Practice Location

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