Individual
ADEL IBRAHEM MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10900 PARKSIDE DR, KNOXVILLE, TN 37934-1958
(865) 777-5180
Mailing address
10900 PARKSIDE DR, KNOXVILLE, TN 37934-1958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39836
TN
Other
Enumeration date
07/05/2017
Last updated
08/24/2017
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