Individual
BISMA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 CENTRAL AVE STE 203, ST PETERSBURG, FL 33701-3662
(866) 234-9474
Mailing address
695 CENTRAL AVE STE 203, ST PETERSBURG, FL 33701-3662
(866) 234-9474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027655A
IN
183500000X
Pharmacist
52741
TX
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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