Provider Demographics
NPI:1265726210
Name:ABED, JEHAN K (PHARMD)
Entity type:Individual
Prefix:
First Name:JEHAN
Middle Name:K
Last Name:ABED
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 1:2015 HUGUENOT RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4305
Mailing Address - Country:US
Mailing Address - Phone:804-799-6465
Mailing Address - Fax:
Practice Address - Street 1:11290 W BROAD ST
Practice Address - Street 2:T-1049
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-5815
Practice Address - Country:US
Practice Address - Phone:804-360-8912
Practice Address - Fax:804-360-8912
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist