Individual provider · Type 1 NPI

Mina Boshra Ghattas Ibrahim

Pharmacist · Los Angeles, CA

NPI number 1104205244 Active

Practice location

4633 Santa Monica Blvd
Los Angeles, CA 90029-1803

Mailing address

10623 Pangborn Ave
Downey, CA 90241-2939

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X72485 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104205244

Mina Boshra Ghattas Ibrahim's National Provider Identifier is 1104205244, issued on May 21, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Los Angeles, CA. The record was last updated on May 21, 2015.