Provider Demographics
NPI:1003143082
Name:ABSHIRE, DUSTIN MARSHALL (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DUSTIN
Middle Name:MARSHALL
Last Name:ABSHIRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19639 EASTEX FWY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3500
Mailing Address - Country:US
Mailing Address - Phone:281-446-1006
Mailing Address - Fax:
Practice Address - Street 1:19639 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3500
Practice Address - Country:US
Practice Address - Phone:281-446-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist