Provider Demographics
NPI:1437607132
Name:GRAHAM, T'ERA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:T'ERA
Middle Name:
Last Name:GRAHAM
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 1:8310 ABRAMS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7604
Mailing Address - Country:US
Mailing Address - Phone:214-503-6286
Mailing Address - Fax:214-503-8031
Practice Address - Street 1:8310 ABRAMS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7604
Practice Address - Country:US
Practice Address - Phone:214-503-6286
Practice Address - Fax:214-503-8031
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist