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NPI Code Detail

MEDICARE: MRS. RAYESA MUNIR KHAN RPH

MEDICARE: MRS. RAYESA MUNIR KHAN RPH
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
1183500000XPharmacist50869CA

General Provider Information

NPI Number : 1669758363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RAYESA MUNIR KHAN RPH
Provider Business Mailing Address
First Line : 7560 TOPANGA CANYON BLVD
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-1213
Country : US
Telephone Number : 818-340-4031
Fax Number :
Provider Business Practice Location Address
First Line : 7560 TOPANGA CANYON BLVD
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-1213
Country : US
Telephone Number : 818-340-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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