Individual
MUTAHIR NIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 POST RD E, WESTPORT, CT 06880-3613
(203) 226-0741
Mailing address
5742 MEMORIAL BLVD, SAINT GEORGE, SC 29477-2153
(843) 563-2208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43432
SC
Other
Enumeration date
05/23/2022
Last updated
11/15/2024
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