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NPI Code Detail

MEDICARE: ALI MAHMOUD

MEDICARE: ALI MAHMOUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03443583OH

General Provider Information

NPI Number : 1518742758
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MAHMOUD
Provider Business Mailing Address
First Line : 3617 BARCELONA DR
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3325 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1406
Country : US
Telephone Number : 419-531-1172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 08/28/2023

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Directions to “ ALI MAHMOUD ” Practice Location

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