Provider Demographics
NPI:1518746106
Name:KHAN, IMRAN ZAFRULLAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IMRAN
Middle Name:ZAFRULLAH
Last Name:KHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 HAMPTON RIVERS RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9299
Mailing Address - Country:US
Mailing Address - Phone:615-962-5021
Mailing Address - Fax:
Practice Address - Street 1:1925 ASHLEY RIVER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4712
Practice Address - Country:US
Practice Address - Phone:843-405-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist