Provider Demographics
NPI:1982297313
Name:RUMICHO, ABORO ABEBE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABORO
Middle Name:ABEBE
Last Name:RUMICHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 DONEGAL DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4870
Mailing Address - Country:US
Mailing Address - Phone:651-735-0722
Mailing Address - Fax:
Practice Address - Street 1:1965 DONEGAL DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4870
Practice Address - Country:US
Practice Address - Phone:651-735-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist