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DINA IBRAHIM PHARM-D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1194327387

Individual Registrant:
 DINA  IBRAHIM PHARM-D
Gender: F
Sole Proprietor

Location and contact information for practice:
1750 BRACKENHURST PL  LAKE MARY, FL 32746-4609 US
Tel: 407-580-3397  Fax: --

Contact information for business:
1750 BRACKENHURST PL  LAKE MARY, FL 32746-4609 US
Tel: 407-580-3397  Fax: --

Registration Information:
NPI: 1194327387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS36048

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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