Individual
MANSOOR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
51400 GRATIOT AVE, T-0945, CHESTERFIELD, MI 48051-2007
(586) 598-4770
(586) 598-4770
Mailing address
51400 GRATIOT AVE, T-0945, CHESTERFIELD, MI 48051-2007
(586) 598-4770
(586) 598-4770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038025
MI
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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