Individual provider · Type 1 NPI

Mina Ibrahim

Pharmacist · Springfield, IL

NPI number 1114308970 Active

Practice location

3445 Freedom Dr
Springfield, IL 62704-6517

Mailing address

1628 W Country Oaks Ct
Dunlap, IL 61525-9325

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.298342 (IL)

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 1114308970

Mina Ibrahim's National Provider Identifier is 1114308970, issued on Jun 17, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Springfield, IL. The record was last updated on Jun 17, 2015.