Individual
GENA G IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 HARMONY RD, JACKSON, NJ 08527-4417
(732) 928-6246
(732) 928-6271
Mailing address
44 RUTGERS WAY, FREEHOLD, NJ 07728-2991
(732) 462-1949
(732) 462-1949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03064700
NJ
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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