Individual
MR. MOHAMMAD S KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 GRANT ST APT 1, YONKERS, NY 10704-2362
(914) 751-4867
Mailing address
41 GRANT ST APT 1, YONKERS, NY 10704-2362
(914) 751-4867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04791237
—
NY
Enumeration date
01/17/2019
Last updated
01/17/2019
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