Individual
MR. KHAJA MOHIUDDIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 MAIN ST, MOUNT HOPE, WV 25880-1105
(304) 877-7923
Mailing address
232 SENECA DR, MOUNT HOPE, WV 25880-8833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007520
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023930
—
WV
Enumeration date
04/14/2011
Last updated
10/23/2012
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