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Individual

MR. MOHAMMED A ISMAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BPHARM

Contact information

Practice address
2700 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1152
(864) 268-7123
(864) 268-7163
Mailing address
2700 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1152
(864) 268-7123
(864) 268-7163

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11436
SC
183500000X
Pharmacist
PS0024895
FL

Other

Enumeration date
02/22/2011
Last updated
02/22/2011
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