Provider Demographics
NPI:1902153943
Name:YABUT, ABIGAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:YABUT
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:HUNTER HOLMES MCGUIRE VAMC
Mailing Address - Street 2:1201 BROAD ROCK BLVD, DEPT 119
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0001
Mailing Address - Country:US
Mailing Address - Phone:804-675-5292
Mailing Address - Fax:
Practice Address - Street 1:HUNTER HOLMES MCGUIRE VAMC
Practice Address - Street 2:1201 BROAD ROCK BLVD, DEPT 119
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0259721835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist