Individual
JANET IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 DICK POND RD, MYRTLE BEACH, SC 29588-6836
(843) 742-5243
Mailing address
824 WATERTON AVE, MYRTLE BEACH, SC 29579-5125
(843) 742-5243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12257
SC
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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