Individual
MRS. CAROLINE VICTOR IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 AVENUE C, BAYONNE, NJ 07002-2439
(908) 577-6989
Mailing address
78 AVENUE C, BAYONNE, NJ 07002-2439
(908) 577-6989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03854200
NJ
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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