Provider Demographics
NPI:1821713157
Name:DABO, NDEYE YACINE (RPH)
Entity Type:Individual
Prefix:
First Name:NDEYE
Middle Name:YACINE
Last Name:DABO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1583 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3232
Mailing Address - Country:US
Mailing Address - Phone:401-263-6438
Mailing Address - Fax:
Practice Address - Street 1:1583 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3232
Practice Address - Country:US
Practice Address - Phone:401-263-6438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH06341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRPH06341Other18 - PHARMACY SERVICE PROVIDER