Individual
MASOOMA R KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
(203) 262-1831
Mailing address
675 PROPP AVE, FRANKLIN SQUARE, NY 11010-3513
(857) 264-6457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014680
CT
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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