Provider Demographics
NPI:1982208997
Name:ABRAMO, MICHELLE E (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:E
Last Name:ABRAMO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-3394
Mailing Address - Country:US
Mailing Address - Phone:781-245-2270
Mailing Address - Fax:781-245-8670
Practice Address - Street 1:451 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3394
Practice Address - Country:US
Practice Address - Phone:781-245-2270
Practice Address - Fax:781-245-8670
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist