Individual
DINA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
1750 BRACKENHURST PL, LAKE MARY, FL 32746-4609
(407) 580-3397
Mailing address
1750 BRACKENHURST PL, LAKE MARY, FL 32746-4609
(407) 580-3397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36048
FL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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