Individual
EVON IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15142 HALL RD, STERLING HEIGHTS, MI 48313-1236
(586) 247-5610
Mailing address
15142 HALL RD, STERLING HEIGHTS, MI 48313-1236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351016299
MI
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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