Provider Demographics
NPI:1447588868
Name:MAKIL, JOSEPH ABRAHAM (PHARM D)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ABRAHAM
Last Name:MAKIL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 STILL FOREST DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2625
Mailing Address - Country:US
Mailing Address - Phone:972-956-9030
Mailing Address - Fax:
Practice Address - Street 1:3400 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7801
Practice Address - Country:US
Practice Address - Phone:972-594-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist