Individual
MANSOUR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4101 TATES CREEK CENTRE DR, LEXINGTON, KY 40517-3066
(859) 273-0222
Mailing address
4109 CLEARWATER WAY, LEXINGTON, KY 40515-6019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012495
KY
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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