Amir T Khan | Stockton, CA • PECOS Search

Amir T Khan

Pharmacist

Pharmacy Service Providers

2339 W Hammer Ln Ste J, Stockton, CA 95209-2368

(209) 471-7100 (209) 471-5426

PECOS Enrollment

Based on the most recent information from CMS, provider Amir T Khan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1558633230
Provider Type
Individual
Full Name
Khan, Amir T
Title
Dr.
Credential
PHARM.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/27/2012
Last Updated
3/17/2018

Contact Information

Practice Location

2339 W Hammer Ln Ste J, Stockton, CA 95209-2368

(209) 471-7111

Mailing Location

5863 Saint Andrews Dr, Stockton, CA 95219-1930

(209) 477-7111

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 51125 California
Code 183500000X	Description Pharmacist Pharmacy Service Providers	License 14304 Nevada