Individual
AMIR IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 M ST NW, WASHINGTON, DC 20037-1415
(202) 296-9876
Mailing address
2240 M ST NW, WASHINGTON, DC 20037-1415
(202) 296-9876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100002188
VA
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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