Individual
MOHAMED I IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CSP
Contact information
Practice address
4901 N 4TH AVE, SIOUX FALLS, SD 57104-0444
(800) 835-3784
(800) 973-7150
Mailing address
4901 N 4TH AVE, SIOUX FALLS, SD 57104-0444
(800) 835-3784
(800) 973-7150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6130
SD
183500000X
Pharmacist
63430
TX
Other
Enumeration date
02/26/2014
Last updated
02/03/2020
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