| Doctor Name: | ROBERT KABUTEY |
| NPI Number: | 1003222548 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0202212596 |
| Business Practice Address: | 6130 Baltimore Ave Riverdale, MD - 207371905 |
| Business Phone Number: | 3016995004 |
| Business Fax Number: | 3016990178 |
| Mailing Address: | 6130 Baltimore Ave, RIVERDALE |
| State: | MD |
| Postal Code: | 207371905 |
| Phone Number: | 3016995004 |
| Fax Number: | 3016990178 |
| NPI Enumeration Date: | 07/04/2014 |
| NPI Last Update Date: | 07/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 0202212596 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |