Healthcare Provider Details

I. General information

NPI: 1609345081
Provider Name (Legal Business Name): IBRAHIM MOHAMED RAMADAN DOCTOR OF PHARMACY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2257 N HOLLAND SYLVANIA RD
TOLEDO OH
43615-2646
US

IV. Provider business mailing address

7333 WINSFORD LN
SYLVANIA OH
43560-2900
US

V. Phone/Fax

Practice location:
  • Phone: 419-578-6465
  • Fax:
Mailing address:
  • Phone: 419-902-1766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03440038
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: