Individual
NIDA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(317) 489-7655
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26027969A
IN
183500000X
Pharmacist
5302045630
MI
183500000X
Pharmacist
67744
TX
1835C0205X
Critical Care Pharmacist
Primary
67744
TX
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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