Individual provider · Type 1 NPI

Vivian Ibrahim

Pharmacist · Warren, MI

NPI number 1407457609 Active

Practice location

29176 Van Dyke Ave
Warren, MI 48093-6764

Fax (586) 467-0259

Mailing address

6331 Country Ridge Dr
Troy, MI 48098-6547

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302034136 (MI)

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 1407457609

Vivian Ibrahim's National Provider Identifier is 1407457609, issued on Nov 4, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Warren, MI. The record was last updated on Nov 4, 2020.