Provider Demographics
NPI:1457979874
Name:WEIS, ABIGAIL K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:K
Last Name:WEIS
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 1:3722 EASTON NAZARETH HWY
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8340
Mailing Address - Country:US
Mailing Address - Phone:610-250-8610
Mailing Address - Fax:610-258-9896
Practice Address - Street 1:3722 EASTON NAZARETH HWY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8340
Practice Address - Country:US
Practice Address - Phone:610-250-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist