Provider Demographics
NPI:1467662064
Name:ABARBANEL, RITA HUGHES
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:HUGHES
Last Name:ABARBANEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RITA
Other - Middle Name:HUGHES-SMITH
Other - Last Name:ABARBANEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3524 TRILLIUM CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1717
Mailing Address - Country:US
Mailing Address - Phone:850-668-0249
Mailing Address - Fax:850-421-4020
Practice Address - Street 1:961 WOODVILLE HWY
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-0706
Practice Address - Country:US
Practice Address - Phone:850-421-4040
Practice Address - Fax:850-421-4020
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH27796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist