Provider Demographics
NPI:1063837953
Name:ABLAN, MARIA GRACIA ORLINA (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARIA GRACIA
Middle Name:ORLINA
Last Name:ABLAN
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 1:4101 W VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-9672
Mailing Address - Country:US
Mailing Address - Phone:252-527-8400
Mailing Address - Fax:252-527-2791
Practice Address - Street 1:4101 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-9672
Practice Address - Country:US
Practice Address - Phone:252-527-8400
Practice Address - Fax:252-527-2791
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist