Individual
BRYAN ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7102 CAMPBELL RD, DALLAS, TX 75248-1503
(972) 931-7045
Mailing address
1812 AUBURN DR, CARROLLTON, TX 75007-1451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63258
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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