Provider Demographics
NPI:1013323427
Name:ABBASIAN, DARIO (R PH)
Entity Type:Individual
Prefix:MR
First Name:DARIO
Middle Name:
Last Name:ABBASIAN
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:MR
Other - First Name:DARIO
Other - Middle Name:
Other - Last Name:ABBASIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:R PH
Mailing Address - Street 1:6275 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7910
Mailing Address - Country:US
Mailing Address - Phone:410-799-4468
Mailing Address - Fax:
Practice Address - Street 1:2560 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-1106
Practice Address - Country:US
Practice Address - Phone:410-362-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist