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Michael Mamdouh Aziz Ibrahim
Pharmacist in Yucaipa, California
NPI 1811200215

Michael Mamdouh Aziz Ibrahim is a Pharmacist based in Redlands, CA. Michael Mamdouh Aziz Ibrahim practices in Yucaipa, CA. The NPI Number for Michael Mamdouh Aziz Ibrahim is 1811200215 and holds a License No. 63426 (California).

The current practice location address for Michael Mamdouh Aziz Ibrahim is 34420 Yucaipa Blvd, Yucaipa, CA and can be reached out via phone at 909-797-1312 and via fax at 909-797-3158.

Location: 34420 Yucaipa Blvd, Yucaipa, CA, 92373-5443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811200215
Provider Name
Michael Mamdouh Aziz Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
34420 Yucaipa Blvd, Yucaipa, CA, 92373-5443
Phone Number
909-797-1312
Fax Number
909-797-3158
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
34420 Yucaipa Blvd
City
Yucaipa
State
California
Zip
92399-2412
Phone Number
909-797-1312
Fax Number
909-797-3158
person
Provider Business Mailing Address Details
Address
34420 Yucaipa Blvd
City
Yucaipa
State
California
Zip
92399-2412
Phone Number
909-797-1312
Fax Number
909-797-3158
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
63426 (California)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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