Individual
MARIAM MAHMOOD MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
2921 IOWA AVE, METAIRIE, LA 70006
(781) 605-8642
Mailing address
2921 IOWA AVE, METAIRIE, LA 70006
(781) 605-8642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023680
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.023680
LA PHARMACIST LICENSE NUMBER (ACTIVE)
LA
Enumeration date
10/13/2021
Last updated
10/13/2021
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