Individual
AKRUM MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
312 MAIN ST, MIDDLEBURGH, NY 12122
(518) 702-4176
Mailing address
PO BOX 978, MIDDLEBURGH, NY 12122-0978
(212) 991-8857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054045
NY
183500000X
Pharmacist
28RI03190800
NJ
Other
Enumeration date
03/23/2010
Last updated
12/26/2014
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