Individual
AMIRA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8304 S 15TH ST, PHOENIX, AZ 85042-7904
(602) 300-9648
Mailing address
8304 S 15TH STREET, PHOENIX, AZ 85042-9704
(602) 300-9648
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S017494
AZ
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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