Individual provider · Type 1 NPI

Qudus A. Ibrahim, PharmD

Pharmacist · Hobart, IN

NPI number 1972010817 Active

Practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Call (219) 940-6480 Map

Mailing address

3371 Reserve Dr Apt 115
Portage, IN 46368-5239

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X26026388A (IN)
Pharmacist Primary 183500000X051.298920 (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 1972010817

Qudus A. Ibrahim, PharmD's National Provider Identifier is 1972010817, issued on Jan 1, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hobart, IN. The record was last updated on Jan 1, 2018.