Individual
MRS. HUMAIRA KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 TRIBOU ST UNIT 24, BROCKTON, MA 02301-6482
(732) 318-5426
Mailing address
83 TRIBOU ST UNIT 24, BROCKTON, MA 02301-6482
(732) 318-5426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239351
MA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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