Provider Demographics
NPI:1699102624
Name:KHOKHAR, SAIRA ABID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAIRA
Middle Name:ABID
Last Name:KHOKHAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1662 W JUPITER WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6437
Mailing Address - Country:US
Mailing Address - Phone:602-689-4609
Mailing Address - Fax:
Practice Address - Street 1:9615 E OLD SPANISH TRL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-7540
Practice Address - Country:US
Practice Address - Phone:520-296-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist