Organization
PONTIAC GENERAL HOSPITAL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSOOR KHAN PHARM. D. (PHARMACIST-IN-CHARGE/OWNER)
(586) 596-4198
Entity
Organization
Contact information
Practice address
50 N PERRY ST STE 100, PONTIAC, MI 48342-2217
(248) 859-0020
(248) 859-0025
Mailing address
50 N PERRY ST STE 100, PONTIAC, MI 48342-2217
(248) 859-0020
(248) 859-0025
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
5301011400
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301011400
MI
3336I0012X
Institutional Pharmacy
5301011400
MI
3336S0011X
Specialty Pharmacy
5301011400
MI
Other
Enumeration date
05/31/2018
Last updated
11/05/2025
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