Individual
MR. JACOB THOPPILKALATHIL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
8157 KENSINGTON DR, WAXHAW, NC 28173-0103
(704) 243-2034
(704) 243-7853
Mailing address
3300 MONROE RD STE EF, CHARLOTTE, NC 28205-7853
(800) 589-5737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16030
NC
Other
Enumeration date
03/11/2010
Last updated
05/06/2021
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