Individual
ANDREW IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6570 LONE TREE WAY, BRENTWOOD, CA 94513-5257
(925) 240-6051
Mailing address
6570 LONE TREE WAY, BRENTWOOD, CA 94513-5257
(925) 240-6051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68692
CA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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