Provider Demographics
NPI:1548611650
Name:KPA, HOPE ABIGAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:ABIGAIL
Last Name:KPA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 WINTERLOCHEN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-3860
Mailing Address - Country:US
Mailing Address - Phone:919-623-0268
Mailing Address - Fax:
Practice Address - Street 1:2311 TIMBER DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2586
Practice Address - Country:US
Practice Address - Phone:919-661-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist