Individual
DR. MICHAEL ANTHONY ABRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3240 BECK RD, LOMPOC, CA 93436-8301
(805) 570-7143
Mailing address
1071 FAIR OAKS AVE, ARROYO GRANDE, CA 93420-3822
(805) 570-7143
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
64451
CA
3336C0003X
Community/Retail Pharmacy
64451
CA
3336L0003X
Long Term Care Pharmacy
64451
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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