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
461 W HURON ST STE 111, PONTIAC, MI 48341-1601
(248) 859-0020
(248) 859-0025
Mailing address
461 W HURON ST STE 111, PONTIAC, MI 48341-1601
(248) 859-0020
(248) 859-0025
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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