Individual
ANZHELIKA KHAITOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
1637 YORK AVE, NEW YORK, NY 10028-6545
(646) 764-4939
Mailing address
1637 YORK AVE, NEW YORK, NY 10028-6545
(212) 534-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060003
NY
Other
Enumeration date
10/30/2014
Last updated
12/21/2018
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