Individual
SHAZIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
Mailing address
10025 EVERGREEN CT N, BROOKLYN PARK, MN 55443-1577
(224) 441-5918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122571
MN
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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