Individual
MUHTASIM MAHBOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
570 SHELBURNE RD, BURLINGTON, VT 05401-5049
(802) 860-2255
Mailing address
9012 VANDERVEER ST, QUEENS VILLAGE, NY 11428-1240
(718) 288-3524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134985
VT
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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