Individual
DR. HUSAM KHALED MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
114 E LEBANON ST, MOUNT AIRY, NC 27030-3662
(336) 786-2177
Mailing address
824 GRAMERCY ST, WINSTON SALEM, NC 27104-5904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20730
NC
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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