Individual
KADIJA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990
Mailing address
116 N PAULINE ST RM BWG 33, MEMPHIS, TN 38104-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48069
TN
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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