MRS. Amtul Khaleelullah

NPI #1003075326 in Hollis, New York

Provider Information

NPI Number: 1003075326
Entity Type: Individual
Name: MRS. Amtul Khaleelullah
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 20414 HILLSIDE AVE
City: Hollis
State: New York
ZIP Code: 11423-2217
Phone: (718) 464-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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