NPI 1003075326

Amtul Khaleelullah

Practitioner Pharmacist Hollis, NY

Practice location

Address: 20414 Hillside Ave, Hollis, NY 11423-2217
Phone: (718) 464-4066
Mailing address: 238 Stuart Rd, Valley Stream, NY 11581-3412

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 150310363 (NY)

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Registry record

NPI: 1003075326
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2008
Record last updated: 2 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.