# PONTIAC GENERAL HOSPITAL PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609461912
- **Authorized official:** MANSOOR KHAN PHARM. D. (PHARMACIST-IN-CHARGE/OWNER)
- **Authorized official phone:** (586) 596-4198

## Contact information

- **Practice address:** 461 W HURON ST STE 111, PONTIAC, MI 48341-1601
- **Practice address phone:** (248) 859-0020
- **Practice address fax:** (248) 859-0025
- **Mailing address:** 461 W HURON ST STE 111, PONTIAC, MI 48341-1601
- **Mailing address phone:** (248) 859-0020
- **Mailing address fax:** (248) 859-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 03/08/2021