Provider Demographics
NPI:1538765060
Name:ABRAHAM, AMEYMOL (RPH)
Entity type:Individual
Prefix:
First Name:AMEYMOL
Middle Name:
Last Name:ABRAHAM
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 1:3410 HOGELAND LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1741
Mailing Address - Country:US
Mailing Address - Phone:914-500-7008
Mailing Address - Fax:
Practice Address - Street 1:1840 COUNTY LINE RD STE 100B
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1718
Practice Address - Country:US
Practice Address - Phone:215-861-7007
Practice Address - Fax:215-475-5676
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455379183500000X
NJ28RI03267900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist