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NPI Code Detail

MEDICARE: SANA P KHAN PHARM D

MEDICARE: SANA P KHAN PHARM D
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
1183500000XPharmacist051294371IL

General Provider Information

NPI Number : 1366722878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANA P KHAN PHARM D
Provider Business Mailing Address
First Line : 4748 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-4640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4748 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-4640
Country : US
Telephone Number : 773-745-6642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2011
Last Update Date : 08/29/2011

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Directions to “ SANA P KHAN PHARM D” Practice Location

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