Individual
MR. SAMEH IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
824 WATERTON AVE, MYRTLE BEACH, SC 29579-5125
(843) 446-0390
Mailing address
824 WATERTON AVE, MYRTLE BEACH, SC 29579-5125
(843) 742-5243
(843) 584-8534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02667400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02667400
PHARMACIST LICENSE
NJ
Enumeration date
03/28/2008
Last updated
04/17/2020
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