Most Relevant Information
Provider Data
| NPI Number: | 1003075326 |
| Provider Name: | AMTUL KHALEELULLAH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 150310363 |
Most Important Dates
| Enumeration Date: | 06/02/2008 |
| Last Updated: | 06/02/2008 |
Provider Practice Location
20414 HILLSIDE AVE
HOLLIS
NY
114232217
Practice Location Phone/Fax
| Phone: | 7184644066 |
| Fax: |
Provider Mailing Location
238 STUART RD
VALLEY STREAM
NY
115813412
Provider Mailing Phone/Fax
| Phone: | 5165611924 |
| Fax: |