Ahmed Yosry Ibrahim
Pharmacist in Nutley, NJ. Individual provider (NPI-1).
NPI number1043661804
StatusActive
Last updated in NPPESJun 23, 2016
Details
- NPI
- 1043661804
- Entity type
- Individual (NPI-1)
- Name
- Ahmed Yosry Ibrahim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2016
- Last updated
- Jun 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28ri03561100 | NJ | Yes |
Practice location
100 Franklin AveNutley, NJ 07110-3266
Phone 973-661-0900
Mailing address
169 Overmount AveApt B
Woodland Park, NJ 07424-3232
Phone 201-655-8461
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