Individual provider · Type 1 NPI

Michael Mamdouh Aziz Ibrahim

Pharmacist · Yucaipa, CA

NPI number 1811200215 Active

Practice location

34420 Yucaipa Blvd
Yucaipa, CA 92399-2412

Call (909) 797-1312 Map

Fax (909) 797-3158

Mailing address

1400 Barton Rd Apt 2713
Redlands, CA 92373-5443

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X63426 (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 1811200215

Michael Mamdouh Aziz Ibrahim's National Provider Identifier is 1811200215, issued on Jul 14, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Yucaipa, CA. The record was last updated on Jul 14, 2010.