MEDICARE: SABA EMRAN 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
1	183500000X	Pharmacist	73238	TX

General Provider Information

NPI Number	:	1912786930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABA EMRAN KHAN PHARMD

Provider Business Mailing Address
First Line	:	5153 VERDE VALLEY LN APT 1818
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7416
Country	:	US
Telephone Number	:	210-219-7029
Fax Number	:

Provider Business Practice Location Address
First Line	:	5153 VERDE VALLEY LN APT 1818
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7416
Country	:	US
Telephone Number	:	210-219-7029
Fax Number	:

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

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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Directions to “ SABA EMRAN KHAN PHARMD” Practice Location

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