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Individual

IBRAM N MIKHAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23 N ELM ST, KUTZTOWN, PA 19530-1343
(610) 683-5520
Mailing address
23 NORTH ELM ST, KUTZTOWN, PA 19530

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP457157
PA
333600000X
Pharmacy
Primary
RP457157
PA

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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