Individual
MARIAM IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
123 BROAD ST, ELIZABETH, NJ 07201-2301
(908) 355-0005
Mailing address
123 BROAD ST, ELIZABETH, NJ 07201-2301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04291800
NJ
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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