Individual
MOSTAFA ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2001 N CENTRAL AVE, MARSHFIELD, WI 54449-8337
(773) 991-8857
Mailing address
2001 N CENTRAL AVE, MARSHFIELD, WI 54449-8337
(773) 991-8857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20768-40
WI
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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