Individual
ANGELA KHAITOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
8310 CHEVY CHASE ST, JAMAICA, NY 11432-1520
(347) 337-2300
Mailing address
8310 CHEVY CHASE ST, JAMAICA, NY 11432-1520
(347) 337-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065561
NY
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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