Provider Demographics
NPI:1780682989
Name:ABOBO, RUTH VIVIAN B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RUTH VIVIAN
Middle Name:B
Last Name:ABOBO
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 1:1027 ROYAL LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5529
Mailing Address - Country:US
Mailing Address - Phone:281-343-5767
Mailing Address - Fax:281-343-5530
Practice Address - Street 1:1027 ROYAL LAKES BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5529
Practice Address - Country:US
Practice Address - Phone:281-343-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist