Individual
KIRAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15 MAIN ST, WALTHAM, MA 02453-6905
(781) 642-8711
Mailing address
15 MAIN ST, WALTHAM, MA 02453-6905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239901
MA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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