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Individual

AUSAMA KHALIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16261 HIGHWAY 101 S, HARBOR, OR 97415-9499
(210) 724-4663
Mailing address
16261 HIGHWAY 101 S, HARBOR, OR 97415-9499
(210) 724-4663

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016588
OR

Other

Enumeration date
05/07/2018
Last updated
05/07/2018
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