SearchVirginia183500000X

Gerald Ibraham, PHARM.D

NPI 1790067122 · on the registry since 2011 · sole proprietor

Practice

Address
4768 Shore Dr
Virginia Beach, VA 23455
Phone
(757) 460-1290
Fax
(757) 460-1547
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
VA, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-12

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 Virginia