Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY IBRAHIM, PHARMD
Active Sole ProprietorInstitutional Pharmacy · FARMINGTON HILLS, MI
Registration Details
- NPI Number
- 1700401064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2020 (5.8605638928755 yrs)
- Last Updated
- Jun 12, 2020
- License
-
5302042501 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28050 GRAND RIVER AVEFARMINGTON HILLS, MI, 483365919Browse MI providers · Browse ZIP 48336
- Phone
- 9475218363
- Fax
- 2484718498
- Primary Specialty
-
Institutional Pharmacy
3336I0012X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.