Individual
IMTIAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1141 N MCEWAN ST, CLARE, MI 48617-1107
(989) 386-6197
Mailing address
1637 E BROOMFIELD ST APT 3H, MOUNT PLEASANT, MI 48858-5422
(204) 999-1578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21240020802
MI
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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