Individual
DR. MOHAMMAD MAHMOUD MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
218 E MAIN ST, CLINTON, CT 06413-2230
(860) 664-4641
Mailing address
104 SANDY HOLLOW RD, MYSTIC, CT 06355-1718
(860) 574-0251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016105
CT
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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