Provider Demographics
NPI:1255610952
Name:WEBER, ABIGAIL ELISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ELISE
Last Name:WEBER
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 1:640 S STATE ST
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-6025
Mailing Address - Fax:302-735-3212
Practice Address - Street 1:315 N CARTER RD
Practice Address - Street 2:SMYRNA ANTICOAGULATION CLINIC
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1282
Practice Address - Country:US
Practice Address - Phone:302-653-0927
Practice Address - Fax:302-653-0928
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist