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NPI Code Detail

MEDICARE: DR. ALIA KHAN PHARMD

MEDICARE: DR. ALIA KHAN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician049.258217IL

General Provider Information

NPI Number : 1134965056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALIA KHAN PHARMD
Provider Business Mailing Address
First Line : 9336 S OCTAVIA AVE
Second Line :
City : BRIDGEVIEW
State : IL
Zip : 60455-2110
Country : US
Telephone Number : 630-460-4383
Fax Number :
Provider Business Practice Location Address
First Line : 50 E NORTH AVE
Second Line :
City : VILLA PARK
State : IL
Zip : 60181-1244
Country : US
Telephone Number : 630-833-7461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2024
Last Update Date : 07/02/2024

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Directions to “ DR. ALIA KHAN PHARMD” Practice Location

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