Individual
MAHMOUD AMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(630) 605-8798
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0014010
CT
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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