Individual
MOHAMED MOSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 POQUONNOCK RD, GROTON, CT 06340-4257
(860) 446-0144
Mailing address
38 OAKLAWN AVE APT 320, CRANSTON, RI 02920-9369
(646) 932-3016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016527
CT
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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