Al Yacoub, Shorouq
Al Yacoub, Shorouq is an individual health care provider with primary practice located at 4950 Iris Ave Apt 734 , Fort Wayne IN 46825-2777. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Al Yacoub, Shorouq can be contacted via phone (308) 293-6240.Contact Information
Primary practice address
4950 Iris Ave Apt 734
Fort Wayne IN 46825-2777
Phone: (308) 293-6240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26030261A | Indiana |
Profile Details
| NPI number | 1346003175 |
|---|---|
| LBN Legal business name | Al Yacoub, Shorouq |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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