Individual
AYAT MUHANA MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8038 THOMAS ST, APARTMENT 3E, JUSTICE, IL 60458-1617
(708) 843-2936
Mailing address
8038 THOMAS ST, APARTMENT 3E, JUSTICE, IL 60458-1617
(708) 843-2936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294883
IL
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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