Individual
MARIAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
913 N SPRING ST APT 307, BEAVER DAM, WI 53916-1737
(501) 766-8312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19581-40
WI
183500000X
Pharmacist
Primary
PH239390
MA
Other
Enumeration date
09/24/2018
Last updated
04/02/2024
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