Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTIN RYAN ABAONZA, PHARM D
DeactivatedPharmacist · TUBA CITY, AZ
This NPI has been deactivated.
The record was deactivated on December 28, 2016.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063774057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2012 (4.5397260273973 yrs)
- Last Updated
- Sep 26, 2023
- Deactivated
- Dec 28, 2016
- License
-
051296228 (IL)
Practice Information
- Address
-
167 NORTH MAIN STREETTUBA CITY, AZ, 860450600Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832501
- Fax
- 9282832677
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| JAMES BRANT YOUNG | RPH | 1699766865 |
| DR. DENISE T VERMILYEA | PHARMD | 1306974084 |
| DR. MARY C BYRNE | PHARM.D, BCPS | 1457473613 |
| BRIAN C BELO | PHARM.D. | 1316152580 |
| DR. RONALD CHAPMAN | PHARMD | 1427263649 |
| DR. IDELLA MARIE BRYANT | PHARMD | 1760697510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.