Individual
FARAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13545 EUREKA RD, SOUTHGATE, MI 48195-1334
(734) 283-2367
Mailing address
13545 EUREKA RD, SOUTHGATE, MI 48195-1334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031558
MI
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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