NPI 1013291970

Boby Abraham

Practitioner Pharmacist Southfield, MI

Practice location

Address: 23111 Lahser Road Walgreens, Southfield, MI 48034
Phone: (248) 945-9216
Mailing address: 1075 Beaver Run, Troy, MI 48083-5458

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302036880 (MI)

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Registry record

NPI: 1013291970
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2011
Record last updated: 10 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.