Individual
KHURRAM JAVED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1511
(619) 542-0292
Mailing address
1719 GRAND AVE APT B, SAN DIEGO, CA 92109-4471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
76482
CA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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