Provider Demographics
NPI:1063837953
Name:ABLAN, MARIA GRACIA ORLINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA GRACIA
Middle Name:ORLINA
Last Name:ABLAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 N SPENCE AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4270
Mailing Address - Country:US
Mailing Address - Phone:919-778-3238
Mailing Address - Fax:
Practice Address - Street 1:1002 N SPENCE AVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4270
Practice Address - Country:US
Practice Address - Phone:919-778-3238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist