Individual
MOHAMED ELSHAZLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10580 E 96TH ST, FISHERS, IN 46037-9643
(317) 849-6406
Mailing address
7212 HATTERAS LN APT 2C, INDIANAPOLIS, IN 46214-1281
(317) 480-2639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028877A
IN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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