Provider Demographics
NPI:1003355900
Name:BECKER, ABIGAIL ERIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ERIN
Last Name:BECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1673
Mailing Address - Country:US
Mailing Address - Phone:330-416-9914
Mailing Address - Fax:
Practice Address - Street 1:1145 OLENTANGY RIVER ROAD
Practice Address - Street 2:ROOM 4200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212
Practice Address - Country:US
Practice Address - Phone:614-293-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334910-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist