Provider Demographics
NPI:1669355962
Name:GRABER, DAWSON COLE (PHARMD)
Entity type:Individual
Prefix:
First Name:DAWSON
Middle Name:COLE
Last Name:GRABER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 N GOSPEL ST
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:IN
Mailing Address - Zip Code:47454-7001
Mailing Address - Country:US
Mailing Address - Phone:812-723-3907
Mailing Address - Fax:
Practice Address - Street 1:889 N GOSPEL ST
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454-7001
Practice Address - Country:US
Practice Address - Phone:812-723-3907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26031347A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist