Individual
ADAM NABIL-IBRAHIM GUIRGUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978
(580) 226-7543
Mailing address
100 E BROADWAY ST, APT. A, ARDMORE, OK 73401-9176
(347) 512-8919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14748
OK
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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