Individual
IBRAHIM JALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 W CENTRE ST, MAHANOY CITY, PA 17948-2603
(570) 773-1455
Mailing address
12 ILFORD AVE, NORTH ARLINGTON, NJ 07031-5914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453184
PA
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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