Individual
MUSTAFA N AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7975 E US HIGHWAY 36, AVON, IN 46123-7975
(317) 272-5563
Mailing address
1325 LAKE MEADOW DR, INDIANAPOLIS, IN 46217-2806
(317) 289-0326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024141A
IN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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