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Individual

IHTESHAM GOHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
140 ENCHANTED PKWY, 100, MANCHESTER, MO 63021-5491
(636) 675-1123
(636) 385-5197
Mailing address
140 ENCHANTED PKWY, 100, MANCHESTER, MO 63021-5491
(636) 675-1123
(636) 385-5197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012025400
MO

Other

Enumeration date
03/12/2013
Last updated
10/06/2014
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