Individual
IMAD K MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3103 LAGRANGE ST, TOLEDO, OH 43608-1801
(419) 241-8065
(419) 242-1127
Mailing address
3103 LAGRANGE ST, TOLEDO, OH 43608-1801
(419) 241-8065
(419) 242-1127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03120964
PHARMACIST LICENSE NUMBER
OH
Enumeration date
12/05/2006
Last updated
07/08/2007
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