Individual
MOSTAFA A IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 S MAIN ST, CLINTONVILLE, WI 54929-1565
(715) 823-2222
(715) 823-6000
Mailing address
8 S MAIN ST, CLINTONVILLE, WI 54929-1565
(715) 823-2222
(715) 823-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16281-40
WI
183500000X
Pharmacist
28RI03410700
NJ
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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