Provider Demographics
NPI:1649804741
Name:ABRAMS, GEOFFREY ROSS (PHARMD)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:ROSS
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 4TH ST APT 107
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6668
Mailing Address - Country:US
Mailing Address - Phone:770-331-0777
Mailing Address - Fax:
Practice Address - Street 1:2727 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5103
Practice Address - Country:US
Practice Address - Phone:336-585-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist