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Individual

FARDEEN KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582
Mailing address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024133
LA

Other

Enumeration date
12/13/2021
Last updated
12/13/2021
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