Lwam Abraha
Individual provider Active NPI Pharmacist · Danville, CA
NPI 1669953410 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1669953410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 78183 (CA)
- Practice address
- 611 San Ramon Valley Blvd
Danville, CA 94526-4013 - Phone
- (925) 743-0166
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78183 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78183 | CA | Yes |
Addresses
Primary practice location
611 San Ramon Valley Blvd
Danville, CA 94526-4013
Mailing address
1101 San Ramon Valley Blvd
Danville, CA 94526-4851
Phone (571) 882-4911
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.