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: |