Individual
DR. MOHAMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2858 N PINAL AVE, CASAGRANDE, AZ 85122-9999
(520) 426-4701
Mailing address
2942 E NISBET CT, PHOENIX, AZ 85032-2103
(602) 214-2333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018881
AZ
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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