Provider Demographics
NPI:1871197293
Name:ABOYE, KEBEBEW ABEBE (RPH)
Entity Type:Individual
Prefix:
First Name:KEBEBEW
Middle Name:ABEBE
Last Name:ABOYE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1983 BUTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-6197
Mailing Address - Country:US
Mailing Address - Phone:540-435-2358
Mailing Address - Fax:
Practice Address - Street 1:780 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3252
Practice Address - Country:US
Practice Address - Phone:540-434-8916
Practice Address - Fax:540-801-8757
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA201000632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist