Individual
DR. JOSEPH ABRAHAM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2051 NEWMARK AVE, COOS BAY, OR 97420-4728
(541) 888-5750
(541) 888-9233
Mailing address
2051 NEWMARK AVE, COOS BAY, OR 97420-4728
(541) 888-5750
(541) 888-9233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014680
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH0014680
OR
Other
Enumeration date
07/16/2015
Last updated
01/29/2016
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