NPI 1003166869

Asif Khan

Practitioner Pharmacist Skokie, IL

Practice location

Address: 800 N Lincoln Ave #800, Skokie, IL 60077
Phone: (313) 220-8961
Mailing address: 4924 Birchwood Ave, Skokie, IL 60077

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.289373 (IL)

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Registry record

NPI: 1003166869
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2012
Record last updated: 19 Sep 2012

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.