Individual
GEORGE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4328 N MAIN ST, DAYTON, OH 45405-5013
(937) 274-1530
(937) 276-9704
Mailing address
3512 QUEEN VICTORIA CT, BEAVERCREEK, OH 45431-5706
(937) 231-8145
(937) 276-9704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328603
OH
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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