Provider Demographics
NPI:1134896947
Name:D'ABREAU, ILIANA (PHARMD)
Entity type:Individual
Prefix:
First Name:ILIANA
Middle Name:
Last Name:D'ABREAU
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 1:74 TOMAHAWK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1630
Mailing Address - Country:US
Mailing Address - Phone:760-685-4101
Mailing Address - Fax:
Practice Address - Street 1:74 TOMAHAWK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-1630
Practice Address - Country:US
Practice Address - Phone:760-685-4101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-01217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist