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Mary Ibrahim

NPI 1235600016 · on the registry since 2018 · sole proprietor

Practice

Address
217 S Tustin St
Orange, CA 92866
Phone
(714) 790-4085
Fax
(714) 790-4086
Organisation at this address
Tustin Premier Pharmacy Inc
Tustin Premier Pharmacy Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California