Individual
KANISH KEYUR AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3475 PARKWAY VILLAGE CIR, WINSTON SALEM, NC 27127-6857
(336) 771-7911
Mailing address
320 E HANES MILL RD, WINSTON SALEM, NC 27105-9135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202215119
VA
183500000X
Pharmacist
Primary
29742
NC
Other
Enumeration date
10/19/2020
Last updated
11/15/2024
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