Provider Demographics
NPI:1346578663
Name:ABRAHAM, SHIRLEY JACOB (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:JACOB
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 NASA PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3112
Mailing Address - Country:US
Mailing Address - Phone:281-990-8024
Mailing Address - Fax:281-486-0185
Practice Address - Street 1:1301 NASA PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3112
Practice Address - Country:US
Practice Address - Phone:281-990-8024
Practice Address - Fax:281-486-0185
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist