MEDICARE: ANWAR AMEER KHAN

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
1	183500000X	Pharmacist	073370	NY

General Provider Information

NPI Number	:	1376411983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANWAR AMEER KHAN

Provider Business Mailing Address
First Line	:	432 S 8TH AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-4334
Country	:	US
Telephone Number	:	914-708-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 S 8TH AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-4334
Country	:	US
Telephone Number	:	914-708-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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Directions to “ ANWAR AMEER KHAN ” Practice Location

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