| Mostafa A Ibrahim, | |
|
8 S Main St, Clintonville, WI 54929-1565 | |
| (715) 823-2222 | |
| (715) 823-6000 |
| Full Name | Mostafa A Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 8 S Main St, Clintonville, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467794628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 16281-40 (Wisconsin) | Primary |
| 183500000X | Pharmacist | 28RI03410700 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mostafa A Ibrahim, 8 S Main St, Clintonville, WI 54929-1565 Ph: (715) 823-2222 | Mostafa A Ibrahim, 8 S Main St, Clintonville, WI 54929-1565 Ph: (715) 823-2222 |
Leonard J Purull, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 291 S Main St, Clintonville, WI 54929 Phone: 715-823-2350 Fax: 715-823-2541 | |
Bobbi R. Brahan, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 291 S Main St, Clintonville, WI 54929 Phone: 715-823-2350 Fax: 715-823-2541 | |
Mohamed Rasekh, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St, Clintonville, WI 54929 Phone: 715-823-2222 | |
Angela Miller, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 201 S Main St, Clintonville, WI 54929 Phone: 715-823-4238 | |
Mrs. Casey Anne Bartz, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 291 S Main St, Clintonville, WI 54929 Phone: 715-823-2350 Fax: 715-823-2541 | |
Curtis Leider, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 291 S Main St, Clintonville, WI 54929 Phone: 715-823-2350 |