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Individual

ANTHONY IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8363
(248) 471-8498
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8363
(248) 471-8498

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5302042501
MI

Other

Enumeration date
06/12/2020
Last updated
06/12/2020
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