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WALID IBRAHIM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1760767081

Individual Registrant:
 WALID  IBRAHIM 
Gender: M
Sole Proprietor

Location and contact information for practice:
50040 HARRISON ST  COACHELLA, CA 92236-1426 US
Tel: 760-391-5395  Fax: 760-398-6066

Contact information for business:
50040 HARRISON ST  COACHELLA, CA 92236-1426 US
Tel: 760-391-5395  Fax: 760-398-6066

Registration Information:
NPI: 1760767081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA54736

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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