Most Relevant Information
Provider Data
| NPI Number: | 1003289190 |
| Provider Name: | MARINA IBRAHIM PHARMD. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS54337 |
Most Important Dates
| Enumeration Date: | 11/11/2015 |
| Last Updated: | 11/11/2015 |
Provider Practice Location
415 19TH ST
PALM HARBOR
FL
346835008
Practice Location Phone/Fax
| Phone: | 7277438340 |
| Fax: |
Provider Mailing Location
415 19TH ST
PALM HARBOR
FL
346835008
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |