Provider Demographics
NPI:1114224466
Name:AMIN, KHUSHBU (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KHUSHBU
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:KHUSHBU
Other - Middle Name:
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2744 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2218
Mailing Address - Country:US
Mailing Address - Phone:954-604-9224
Mailing Address - Fax:
Practice Address - Street 1:2744 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-2218
Practice Address - Country:US
Practice Address - Phone:706-733-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024759183500000X
SCSC12704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist