Individual
ANNA KHATSKO MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
312 FAYETTE ST, MANLIUS, NY 13104-1609
(315) 682-1918
Mailing address
6236 TURNWOOD DR, JAMESVILLE, NY 13078-9703
(646) 358-2632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069923
NY
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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