Healthcare Provider Details

I. General information

NPI: 1902153943
Provider Name (Legal Business Name): ABIGAIL YABUT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HUNTER HOLMES MCGUIRE VAMC 1201 BROAD ROCK BLVD, DEPT 119
RICHMOND VA
23249-0001
US

IV. Provider business mailing address

HUNTER HOLMES MCGUIRE VAMC 1201 BROAD ROCK BLVD, DEPT 119
RICHMOND VA
23249-0001
US

V. Phone/Fax

Practice location:
  • Phone: 804-675-5292
  • Fax:
Mailing address:
  • Phone: 804-675-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH025972
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: