Individual
DR. QUDUS A IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 940-6480
Mailing address
3371 RESERVE DR APT 115, PORTAGE, IN 46368-5239
(708) 574-3420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298920
IL
183500000X
Pharmacist
26026388A
IN
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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