Provider Demographics
NPI:1225926322
Name:ABEBE, BRIGHTON (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIGHTON
Middle Name:
Last Name:ABEBE
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 1:4501 HIGHWAY 39 N APT 14B
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-1076
Mailing Address - Country:US
Mailing Address - Phone:601-428-0408
Mailing Address - Fax:601-428-0408
Practice Address - Street 1:501 N 16TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-3852
Practice Address - Country:US
Practice Address - Phone:601-428-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-15957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist