Individual
LAJWARD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 LONG HILL RD, GROTON, CT 06340-4149
(860) 405-1919
Mailing address
52 ESSEX ST APT 5B, DEEP RIVER, CT 06417-1937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014504
CT
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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