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NPI Code Detail

MEDICARE: ELWALEED MUBARAK IBRAHIM RPH

MEDICARE:   ELWALEED MUBARAK IBRAHIM  RPH
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
1183500000XPharmacist050644NY

General Provider Information

NPI Number : 1831368315
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELWALEED MUBARAK IBRAHIM RPH
Provider Business Mailing Address
First Line : 3223 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4213
Country : US
Telephone Number : 718-856-8048
Fax Number : 718-469-0424
Provider Business Practice Location Address
First Line : 3223 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4213
Country : US
Telephone Number : 718-856-8048
Fax Number : 718-469-0424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2008
Last Update Date : 01/09/2023

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Directions to “ ELWALEED MUBARAK IBRAHIM RPH” Practice Location

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