Individual
MISS IMAN IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12-16 NORTH STREET, BAYONNE, NJ 07002-2016
(201) 436-6268
Mailing address
12-16 NORTH STREET, BAYONNE, NJ 07002-2016
(551) 208-6761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31570
NJ
Other
Enumeration date
09/15/2010
Last updated
12/12/2010
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